9 Oct 2018

Part-Time Provisional Fellow – Central Coast

NSW Health Service – Central Coast

Job Description

Position Title Provisional Fellow
Position Number 18932
Employment Status Part Time – Exempt
Applications Close 19/10/2018
Local Health District Central Coast Local Health District
Facility Gosford Hospital
Specialty Surgery
Sub Specialty Orthopaedic surgery
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Registrar
Current Rotations/Networks (which may change from time to time) 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 and Wyong Hospitals.
Main Purpose of Position The Provisional Fellow (PF) Orthopaedic position is under the Division of Anaesthesia, Surgery and Intensive Care and provides high level care to orthopaedic inpatients and outpatients consulted by orthopaedic surgeons. The PF provides high level management of complex orthopaedic problems and provides clinical leadership while the consultant surgeons are not immediately available. The PF will be directed by the Consultant Surgeons and in turn will direct and, if necessary, assist the Intern/RMO on their team to complete all pre and post-surgical care, including assessments, diagnostics, documentation, arrangement of patient discharge process and communication to provide optimal care.
The PF will 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 (but are not limited to):
•A leadership role in coordinating the admission, management and discharge planning of patients seen in or admitted to orthopaedics, and ensuring that the admission and plans are documented in the medical record.
•The day-to-day assessment and management of the patients in orthopaedics, 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.
•Decision making concerning the patient(s) in consultation with their immediate supervisor and team.
•Participation in the afterhours and relief roster.
Position Requirements Clinical
The PF is clinically responsible for:
Setting in motion the diagnosis and management of the patient’s condition, including arranging requests for radiology and pathology tests, prescribing appropriate medications and arranging interventional treatment or referral for consultation where required.
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 that an accurate history and examination, management plan, investigations and action taken are recorded in the patient’s medical record including regular progress notes and arranging theatre and procedural lists as required.
Communicating and coordinating effectively with nursing and other staff in regard to management plans, diagnostic requests, consultations and management of unstable patients.
Regularly reviewing patients to ensure the management is carried out and outcome assessed.
Ensuring that review of all pathology, radiology and other diagnostic reports is undertaken and advising the Admitting Medical Officer 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.
Ensuring ongoing support and information to the patient and family (where appropriate).
Communicating the patient assessment to the relevant Admitting Medical Officer.
Reviewing clinical consultations to allow an Admitting Medical Officer to review the patient within 24 hours of referral.
Reviewing patients in the Emergency Department at their request ensuring appropriate referral to the relevant team.
Ensuring that all arrangements for autopsy, death and cremation certificates are made expeditiously and appropriate support to other staff and family is given.
Ensuring effective, timely and accurate discharge planning occur 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 Liaison occurs with the general practitioner (or other primary care personnel).

Research and Teaching
Experience and willingness to teach junior medical staff and students.
Participate in unit/departmental and divisional quality activities.
Participate in research, peer review and audit projects.
Teaching of appropriate multidisciplinary team members and Nursing staff.
Attending hospital grand rounds and relevant weekly meetings
Obtaining and maintaining Basic and Advanced Cardiac Life Support accreditation
Providing evidence of continued professional development and commitment to self-education.

Orientation
The PF 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 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, Occupational Health and Safety, Fire Safety and quality improvement processes.
Supervision
The PF will be required to provide supervision and 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.

Other responsibilities
In addition to the core competency standards, the PF 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 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.
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.
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.
Key Internal and External Relationships Key Internal Relationships
•Clinical streams
•Multidisciplinary teams
•Consumers/Carers
•Other Clinical Divisions
•Hospital Administration
•The Unaccredited Trainee will be expected to work with other Medical Officers, nurses, allied and clerical staff as part of his/her role.

Key External Relationships
•Consumer/Carers
•GP’s
•Community
•Police, Ambulance
Supervision Arrangements Supervision of the PF in normal hours of work:
•The PF will receive full direct supervision and support from the Consultant within the department they are rotating through. As such daily supervision is available at any time.
•The PF will have access to a senior supervisor at all times.
Supervision of the PF after hours:
•The PF will be able to call the Consultant on call for support and supervision after hours.
Challenges/Problem Solving •Balancing training and education requirements with service provision, within the limitations of a busy public health organisation.
•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 The PF 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 PF 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 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 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 PF 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 PF is required to maintain a continuing level of satisfactory performance.
A Term Assessment will be conducted at the end of each Term by the Team Supervisor.
• Reviewed by the Admitting Medical Officer on each term rotation
• Attendance at Departmental training sessions
• Maintenance of Advanced Cardiac Life Support Accreditation
• Annual Performance Evaluation & Development Review. (e.g. in-training assessments)
Additional Information
In addition to the facilities and locations listed above you may be required to work at different locations and clinical departments within NSW Health during your employment as may be reasonable in the circumstances 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.

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.

Additional Documents no addditional documents have been provided

College Royal Australasian College of Surgeons
Organisation Chart Orthopaedics PF Organisationation Chart 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: Completion of at least six postgraduate years working as a medical officer with demonstrated competence in Orthopedics and experience in operating theatre and a demonstrated commitment to a career in Orthopaedics.

3: 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.

4: Demonstrates teamwork, time management and problem solving skills as part of a multidisciplinary team.

5: Demonstrated excellent communication skills (verbal and written) and computer skills.

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 (including rural locations).

7: Demonstrated good organisational, time management skills and commitment to quality improvement, patient safety and risk management.

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.
Contact Details Dr Ed Bateman
0243202051
CCLHDD-DASIC-HODSecretary@health.nsw.gov.au

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Job Categories: Healthcare. Job Types: Part-Time. Occupation: Professionals. Job expires in 34 days.

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