19 Mar 2020

Full-Time Senior Resident Medical Officer (SRMO) on Central Coast

NSW Health Service – Central Coast

Job Description

Position Title Senior Resident Medical Officer (SRMO)
Position Number 22162
Employment Status Full Time – Exempt
Applications Close 20/03/2020
Maximum length of training contract 06/02/2022
Local Health District Central Coast Local Health District
Facility Gosford Hospital
Specialty General
Sub Specialty None
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Salary Band $81,639.00 to $110,406.00
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, Wyong, Woy Woy and Long Jetty Hospitals. Applicants wishing to commence mid-year are also welcome to apply. CCLHD can provide some flexibility in start dates. CCLHD is part of Network 7 Prevocational Training.
Main Purpose of Position To provide effective medical services to patients under supervision in a complex clinical environment in both Medical and Surgical inpatient and outpatient areas in the Central Coast Local Health District.
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.
• The day-to-day assessment and management of patients, communicating with them and their family/carer, the nature of their condition and its treatment.
• Communicating and coordinating care within a multidisciplinary team, arranging consultation with other staff when appropriate, 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.
• 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.
Position Requirements SRMOs at Gosford & Wyong have the opportunity to undertake terms (rotations) in some of the following areas: Anesthetics, Intensive Care Medicine, Cardiology, Gastroenterology, Geriatrics, General Medicine, Geriatrics Rehabilitation, Hematology, Medical Assessment Unit, Neurology, Oncology, Radiation Oncology, Radiology, Renal, Respiratory, Rehabilitation, ASU, ENT Surgery, General Surgery, Orthopaedics, Urology, Psychiatry, Obstetrics & Gynaecology, Pediatrics’, Leadership/Clinical Governance, Addiction Medicine, Emergency Medicine (Gosford and Wyong Hospitals), Medicine Geriatrics Woy Woy and Medicine Rehabilitation Wyong.

The SRMO clinical year consists of 5 terms and all SRMOs are expected to undertake at least one term in Emergency and one term in Relief.

A minimum of Level 2 Supervision from the Medical Board of Australia is required.

Gosford & Wyong Hospitals have a strong commitment to vocational training and career support; term allocations are based on submitted preferences, training needs and future aspirations.

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.

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.

1. Qualifications
• MBBS or equivalent. Currently registered or eligible for registration with the Medical Board of Australia, with a minimum of Level 2 Supervision in place.
• Australian and NZ Graduates/Competent Authority Pathway Candidates: Completion of 2 post graduate years or more as a medical officer in an acute hospital setting and practiced clinical medicine in an acute hospital setting for a minimum of 12 months out of the past 2 years.
• Standard Pathway Candidates: Completion of a minimum of 3 postgraduate years or more as a medical officer in an acute hospital setting and practiced clinical medicine in an acute hospital setting for a minimum of 12 months out of the past 2 years.

2. Clinical Competency is expected in the following as a minimum:

• Venipunctures
• Veni/Arterial Puncture for sampling
• Venous cannulation
• ABG Analysis
• Insertion of Nasogastric tube
• CPR
• Suturing skills / Removal of foreign bodies
• Catheterisation
• Plastering techniques
• Lumbar Puncture
• Slit lamp examination
• Reading of X-rays
• Recognition and initial management of acute illness eg. DETECT Principles
• Interpretation of basic results:Main features of ECGs, Electrolyte Patterns, Liver function tests, Cerebrospinal fluid results, Blood smear reports, coagulation, iron studies, Radiological reports
• Can apply the principles of blood transfusion/use of blood products
• Can demonstrate an understanding of: Principles of antibiotic usage, medication risks and prescribes and administer drugs appropriately, Principles of safe oxygen therapy, Hazards of drug treatment in the elderly, Pain management, Principles of preventive geriatrics and geriatric rehabilitation.

3. Research Teaching & Education:
• Contribute to teaching activities in the supervision of Resident Medical Officers, Medical Students and Interns.
• Undertake relevant research under the supervision of Term Supervisors
• Provide evidence of continued professional development and commitment to self-education
• Must attend education as organized by the hospital

4. Orientation
Hospital orientation takes place on upon commencement. Attendance is compulsory for all Medical Officers to undertake the core mandatory orientation to:
• Gain an understanding of the NSW Government Code of Conduct, NSW Health CORE values and CCLHD Values and behaviours charter.
• 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.
• 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 CCLHD Employee Assistance Program (EAP).
• Gain education and training in the minimisation and management of aggression, Workplace Health and Safety, Fire Safety and quality improvement processes.

5.Other responsibilities

In addition to the NSW Health CORE values and CCLHD Values and behaviours charter, the Medical Officer is expected to comply with legislative, policy/protocol requirements as they relate to:
• Produce appropriate discharge summaries
• A professional attitude and flexibility in work role
• The supervision requirements as set out by the Medical Board of Australia
• The CCLHD Performance Management Policy;
• Workplace, health and safety requirements as an employee;
• The NSW Health Code of Conduct as well as practicing in accordance with the medical Board of Australia code of conduct, “Good Medical Practice – a code of conduct for doctors in Australia.
• Must know the principles of Open Disclosure & Time Out – Correct Side/Site Policy Directive
• Compliance with all applicable CLCHD 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.
• 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, prior to discharge, of patient discharge letters;
• Observance of general conditions of clinical practice applicable at the CCLHD where you will be working from time to time;
• Demonstrating at all times courteous and professional behaviour towards patients, their relatives and other staff.
• Communicate clearly and precisely and demonstrate graded assertiveness techniques

Responsibilities Under WHS: Supervisor
As a leader you are expected to support the organisation achieve the aims of the safety management system, to establish and maintain a positive health and safety culture in the workplace and to consult with workers and others when making decisions that may impact upon the health, safety and welfare of those in the workplace.

Responsibilities Under WHS: Non-Supervisor
You must take all reasonable care for yourself and others and comply with any reasonable instruction, policies and procedures relating to work health safety and wellbeing.

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. 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 The Senior Resident 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; work co-operatively within a team environment and actively contributes to team activities. The position holder needs to display sound communication skills to deal effectively with administrative and medical staff.

Key Internal Relationships
• Clinical streams
• Multidisciplinary teams
• Consumers and their family and carers
• Other Clinical Divisions
• Hospital Administration

Key External Relationships
• Consumers and their family and carers
• GP’s
• Community
• Police, Ambulance

Supervision Arrangements Supervision of the Senior Resident Medical Officer in normal hours of work:
• Will receive 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.A minimum of Level 2 supervision from the Medical Board of Australia is required.Supervision of the senior Resident Medical Officer after hours:
• will have the immediate supervision by 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 Resident Medical Officers and Interns working after hours.
• Will be able to call the Consultant on call to for support and supervision after hours.

Senior Resident Medical Officers are expected to provide supervision to Resident Medical Officers, Medical Students and Interns.

Challenges/Problem Solving To deal with undifferentiated problems (eg abdominal pain, chest pain) and to establish management priorities.
To gain experience in primary care and in minor wound management.
To develop skills of communication, delegation, setting priorities and using diagnostic and other resources in that setting.
To learn to ask for help.
Completing a comprehensive patient history by obtaining the history from the patient and from other relevant sources (eg medial record, family, nursing home, general practitioner, ambulance transfer sheet etc.).
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 (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 Medical Officer admits the patient.
Legible, accurate and signed progress notes must be taken 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 Senior Resident Medical Officer will be required:
• To exercise decisions independently to their level of expertise/competence in collaboration with more senior medical staff
• 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 position holder needs to display sound communication skills to deal effectively with administrative and medical staff. 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 SRMOs will be allocated a Term Supervisor at the beginning of each term.

Mid and End of Term Assessment forms to be completed by the SRMO and the Term Supervisor or delegate. The completed forms are to be given to the DPET Assistant.

Emergency Department rotations have a requirement for 3 assessments per term, in weeks 3, 5,and 8 of term. At the end of the term your nominated Supervisor will review assessment forms before completing your end of term assessment.

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 of Australia; 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 as 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.

If performance is judged to be below the level of requirement of Position Description a standard process applies PD2016_040 Managing for Performance

Additional Information Central Coast Local Health District – All in a Day’s Work:
https://www.youtube.com/watch?v=xO2oqBjWGdAFurther Careers Information:
http://www.cclhd.health.nsw.gov.au/careers/career-opportunities/medical/
Additional Documents no addditional documents have been provided

 

College
Organisation Chart Junior Medical Officer Organisation Chart Clinical and Managerial.PDF
Job Demands Checklist Click Here to View
Selection Criteria 1: 1. MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia.

2: 2. Australian and NZ Graduates/Competent Authority Pathway Candidates: Completion of 2 post graduate years or more as a medical officer in an acute hospital setting and practiced clinical medicine in an acute hospital setting for a minimum of 12 months out of the past 2 years.

3: 3. Standard Pathway Candidates: Completion of a minimum of 3 postgraduate years or more as a medical officer in an acute hospital setting and practiced clinical medicine in an acute hospital setting for a minimum of 12 months out of the past 2 years. Required to hold Level 2 Supervision with AHPRA.

4: 4. Excellent communication (verbal and written), organisational and time management skills, and computer skills including touch typing speed of at least 30 words per minute. Experience and competency with hospital based electronic medical record systems and electronic prescribing.

5: 5. The ability to work effectively as part of a problem solving multidisciplinary team within a clinical setting.

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. The ability to work within a supervised complex clinical environment utilising excellent clinical skills, judgment & expertise and a commitment to Continued Professional Development, quality improvement, patient safety & risk management. Up to date with ALS, BLS and DETECT (or equivalent).

8: 8. Demonstrated understanding of how the District is Caring for the Coast and how this role would contribute.

Contact Details Maggie Robinson
02 4320 3009
CCLHD-MWEUJMORecruit@health.nsw.gov.au

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