10 Apr 2018

Full-Time Senior Resident Medical Officer (SRMO)

NSW Health Service – The Entrance, New South Wales, Australia

Job Description

NSW Health Service require a “Senior Resident Medical Officer (SRMO)” in Central Coast NSW:

Position Title
Senior Resident Medical Officer (SRMO)

Position Number
16128

Employment Status
Full Time – Exempt

Applications Close
15/04/2018

Local Health District
Central Coast Local Health District

Facility
Gosford Hospital Specialty

General Paediatrics

Sub Specialty
None

Additional Training Focus
Ambulatory Care

Award
Public Hospital Medical Officers (State) Award

Classification
Resident Medical Officer

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 which includes Gosford, Wyong, Woy Woy and Long Jetty Hospitals. Interviews will be held on Wednesday 18th April 2018.

Main Purpose of Position
Provide clinical management to paediatric/neonatal patients within Gosford PARC, Gosford Special Care Nursery, Wyong Paediatric Assesment Unit, Wyong Emergency Department and Wyong Maternity Services. Initiate and participate in clinical teaching and research as well as quality activities.

Provide effective medical services and training exposure for the Senior Resident Medical Officer to patients under supervision in a complex clinical environment in both Medical and Surgical inpatients and outpatient areas in the public health organisation. Responsibilities include:

•Coordinating and documenting 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 records.
•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
To gain experience in the assessment and management of acutely unwell children and children with chronic and complex medical conditions in an ambulatory (non-inpatient) environment, including home visiting.
To gain experience working as part of a multidisciplinary team in the provision of care for children with the above conditions, consulting with other hospital staff to facilitate management, and appropriate transfer and referral of patients.
To gain experience in general paediatric outpatient consulting, including dictation of correspondence to referring doctors and other health professionals.
To gain experience in provision of paediatric medical consultations to the Emergency Department, Maternity Services and General Practitioners
Organise and participate in educational meetings and conferences, discussing various clinical topics involving consultants, junior medical staff and nursing staff.
Liaise with other health professions involved in patient management and care
Liaise with patient family and carers as appropriate
Ensure appropriate arrangements are made for patients on discharge from hospital to maximise continuity of care and good health outcomes.
Accurately assess children and neonates with a broad range of common paediatric and neonatal conditions.
Initiate appropriate investigations and provide an appropriate management plan for all paediatric patients whilst recognising the importance of minimising discomfort and anxiety to the child and family.
Provide acute care, including resuscitation and stabilisation, for neonates and children and arrange transfer where appropriate to a tertiary referral hospital.
Assess the social and emotional factors involved in the management of children and neonates admitted to the hospital.
Liaise appropriately with social work staff and DOCS and perform an examination of a child where physical abuse is suspected.
Liaise with Obstetric Staff in the prenatal planning for at-risk deliveries.
Develop knowledge of the techniques and gain experience in the following procedures; IV cannulation, venous blood sampling, lumbar puncture suprapubic bladder tap, in-out urinary catheter, umbilical venous catheter, arterial blood gas collection, intra-osseous needle insertion, intercostal catheter insertion, airway management including endotracheal intubation.
Gain a thorough knowledge and understanding of the various services available to babies, children and families in the community. These include non government organisations, Child and Family Health Services, community midwives, community paediatric nursing services, and services available for developmentally or physically disabled children.
Manage common non-acute problems in babies, children and families in the community.
Provide information and promote practices involved with preventative health care.
Delegate responsibility to junior staff as well as to recognise own limitations and seek appropriate advice and support.
ADMINISTRATIVE MATTERS:
Attend Departmental, Divisional and Area Health Service meetings as required
Participate on those Hospital and Area Health Service committees to which formally appointed
Participate in at least 50% of your departmental meetings, unless formal arrangements are reached with the Head of Department
Provide at least six weeks notification to Medical Administration of planned/intended leave
Notify Director of Medical Services of any event likely to give rise to a medicolegal claim or complaint, and complete the appropriate forms as required

1. Research and Teaching

The Senior Resident Medical Officer may be required to:
•Contribute to teaching activities in the supervision of Medical Students and Interns.
•Undertake relevant research to facilitate adequate competencies within the department they are rotating through.
•Provide evidence of continued professional development and commitment to self-education.

2. Orientation

The Senior Resident Medical Officer 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.

3.Supervision

The Senior Resident Medical Officer will be required to provide supervision support to Resident Medical Officers and Interns during shifts rostered outside of normal working hours.

4.Other responsibilities

•The supervision requirements as set out by the Medical Board of Australia;
•The Public health organisation Health Services Performance Management Policy;
•Occupational, health and safety requirements as an employee;
•The NSW Health Code of Conduct.

At all times during normal working hours, the applicant will have a more senior Medical Officer on site available to help.
1. In-hours, the applicant is never the most senior Medical Officer on site.
2. If the applicant will be working after hours, on call or overnight, there will always be a more senior Medical Officer on site available to help i.e. After-hours, the applicant is never the most senior Medical Officer on site.
3. The applicant is expected to supervise junior medical staff

In addition to the core competency standards, the Senior Resident 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 Department of Health, as amended and as in force from time to time, including the NSW 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
he 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
Wyong Maternity and Emergency Services, General Practitioners, Community Paediatric staff, Gosford Hospital children’s ward and medical and nursing staff, Gosford PARC and Gosford Special Care Nursery.

Key Internal Relationships
•Clinical streams
•Multidisciplinary teams
•Consumers/Carers
•Other Clinical Divisions
•Hospital Administration

Key External Relationships
•Consumer/Carers
•GP’s
•Community
•Police, Ambulance

Supervision Arrangements
Involvement in multidisciplinary supervision, training and education – including Nursing, Allied Health, Junior Medical Staff, Medical students, other members of the multidisciplinary team and Emergency Department staff on the presentations, procedures and management of children. Supervise Junior Medical Staff to the standards required by the relevant training authority (includes prescribing, ordering of tests, general mentoring, documentation of patient care).

Supervision of the Senior Resident Medical Officer in normal hours of work:
•will receive full direct supervision and support from the Medical Officers 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 Clinical Services 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 Senior Resident Medical Officer after hours:
•will have the immediate supervision of the Trainee (Including Advanced Trainee, Basic Trainee, Unaccredited Trainee) on duty; the Trainee (Including Advanced Trainee, Basic Trainee, Unaccredited Trainee) will also be responsible for other Senior 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
•Working in a complex environment where there are competing priorities and strict deadlines.
•Developing strong working relationships with a multidisciplinary workforce.
•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 (eg 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 Medical Officer 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
Close and effective liaison with consultants will allow the doctor to demonstrate their level of ability and understanding of patient care and enable you to expand your areas of 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.

The Senior Resident 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.
•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 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
Meet the recertification standards of your College. Disclose your recertification standing to the Hospital if asked. To develop and implement for oneself a professional plan which is reviewed and updated regularly in the annual performance appraisal. Evidence of Continuing Medical Education (CPD).

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 Medical Board; and
•Maintaining his/her professional competence.

The Senior Resident Medical Officer is required to maintain a continuing level of satisfactory performance.

•Supervision reporting to the Medical Board of Australia 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.

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.

In addition:

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

Organisation Chart
Paediatric Senior Resident Medical Officer Organisational Chart 2018.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: Minimum of 10 weeks experience in paediatric medicine. Demonstrated proficiency in managing paediatric problems at RMO level (with Advanced Trainee or Consultant support ) in an acute hospital setting.

3: Completion of at least two postgraduate years working as a medical officer with demonstrated competence.

4: Demonstrates the required level of clinical skills and ability to work independently within a supervised complex clinical environment.

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 ability to work effectively as part of a multidisciplinary team. Demonstrated good oranisational, 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.

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