14 Mar 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:

Senior Resident Medical Officer (SRMO)

Position Number

Employment Status
Full Time – Exempt

Applications Close

Local Health District
Central Coast Local Health District

Gosford Hospital

Geriatric Medicine

Sub Specialty

Public Hospital Medical Officers (State) Award

Resident Medical Officer

Current Rotations/Networks (which may change from time to time)
You may be required to work at different facilities and locations with the NSW public health system as from time to time as part of Central Coast Local Health District which includes Gosford, Wyong, Woy Woy and Long Jetty Hospitals.

Main Purpose of Position
To provide effective medical services under supervision to patients in a complex clinical environment in both inpatient 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.

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
SRMOs at Gosford & Wyong have the opportunity to undertake terms (rotations) in some of the following areas: Cardiology, Emergency, Gastroenterology, General Medicine, General Surgery, Haematology, ICU, Neurology, Obstetrics and Gynaecology, Oncology, Paediatrics, Palliative Care, Psychiatry, Orthopaedics, Geriatrics, Drug and Alcohol and Anaesthetics Gosford & Wyong Hospitals have a strong commitment to vocational training and career support; term allocation is based on submitted preferences, training needs and future aspirations of RMO. CCLHD includes Gosford, Wyong, Woy Woy, Long Jetty. Good general experience is provided in these hospitals. RMOs are expected to spend part of their contracted time at both the Gosford and Wyong sites. All RMOs are expected to do a relief term. The position is full-time, Monday to Friday with rostered ward overtime and on-call to cover sick relief for ward overtime. All overtime shifts are evenly distributed between the RMOs.

1. Qualifications

  • MBBS or equivalent.
  • Australian & New Zealand Graduates or Competent Authority; completion of one postgraduate year.
  • For Standard Pathway candidates; two post graduate years or more working as a medical officer in a hospital within the last 3 years.
  • Currently registered or eligible for registration with AHPRA with level 2 supervision. CCLHD can support a limited amount of candidates that are approved for Level 1 Supervision and this may result in a retraction of the job offer.

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 o main features of ECGs

o Electrolyte Patterns
o Liver function tests
o Cerebrospinal fluid results
o Blood smear reports, coagulation, iron studies
o Radiological reports

  • Can apply the principles of blood transfusion/use of blood products
  • Can demonstrate an understanding of:

o Principles of antibiotic usage, medication risks and prescribe and administer drugs appropriately
o Principles of safe oxygen therapy
o Hazards of drug treatment in the elderly
o Pain management
o Principles of preventive geriatrics and geriatric rehabilitation

3. Research Teaching & Education:

  • Contribute to teaching activities in the supervision of Medical Students and Interns, unless AHPRA conditions apply.
  • Undertake relevant research under the supervision of Term Supervisors
  • Provide evidence of continued professional development and commitment to


  • Must attend education as organized by the hospital/LHD

4. Orientation
Orientation: Hospital orientation takes place on upon commencment. Attendance is compulsory for all Resident Medical Officers.

The 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.


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

6.Other responsibilities

In addition to the Values & 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 AHPRA;
  • The public health organisation’s Performance Management Policy;
  • Occupational, health and safety requirements as an employee;
  • The NSW Health Code of Conduct.
  • Must know the principles of Open Disclosure & Time Out – Correct Side/Site Policy Directive
  • 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.

  • Communicate clearly and precisely and demonstrate graded assertiveness techniques

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
The SRMO 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/Carers
  • Other Clinical Divisions
  • Hospital Administration

Key External Relationships

  • Consumer/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 (on site).
  • Will benefit from the additional supervision of the Director of Clinical Services and the Director of Prevocational Education and Training within the hospital.
  • Additional supervision is available by telephone from the department in which the Medical Officer is rotating. .

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 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
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 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

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.

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 the term.
Assessment forms to be completed by Term Supervisor or delegate. The completed forms are to be given to the DPET Assistant or ED Secretary. Emergency Department have a requirement for 3 assessments per 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 AHPRA; and
  • Maintaining his/her professional competence.

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

  • Supervision reporting to AHPRA 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 PD2013_034 Managing for Performance

Additional Information

Responsibilities of the role includes the provision of early clinical decision making as well as the immeidiate documentation and implementation of a management plan which achieves patient outcomes with the mose effieient use of resources.

Additional Documents

no addditional documents have been provided


Organisation Chart

2018 Geriatrics SRMO Organisational Chart.doc

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: Australian & New Zealand Graduates or Competent Authority; completion of one postgraduate year. Standard Pathway candidates; completion of two post graduate years or more, working as a medical officer in a hospital within the last three years.

3: Demonstrated ability of the required level of clinical skills including DETECT (management of the deteriorating patient course).

4: Demonstrated excellent communication skills (verbal and written), and computer skills with the ability to work effectively as part of a multidisciplinary team.

5: 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).

6: Demonstrated good organisational, time management skills and commitment to Continued Professional Development, quality improvement, patient safety and risk management.

7: Demonstrated ability to work within a supervised complex clinical environment utilising excellent clinical skills (at the required level of competency) and judgment and expertise. Clinical experience in the last three years preferable.

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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