20 Apr 2018

Full-Time Unaccredited Trainee

NSW Health Service – Newcastle, New South Wales, Australia

Job Description

NSW Health Service require a “Unaccredited Trainee” in Hunter Valley NSW:

Position Title
Unaccredited Trainee

Position Number

Employment Status
Full Time – Exempt

Applications Close

Training Network/Training Rotation
Emergency Medicine Network 4 – Cluster – (JHH Calvary Mater Maitland) Port Macquarie Tamworth

John Hunter Hospital

Emergency Medicine

Sub Specialty

Public Hospital Medical Officers (State) Award

Resident Medical Officer

Current Rotations/Networks (which may change from time to time)
Hunter New England Emergency Medicine Network consists of John Hunter Hospital, Maitland Hospital, Belmont Hospital and Calvary Mater Newcastle, with optional rotations to Tamworth Rural Referral and Port Macquarie Hospitals.

Main Purpose of Position
The Unaccredited Trainee is expected to participate in clinical duties as arranged by
the appropriate Director of Emergency Medicine or Delegate. The doctor is
responsible for the assessment and management of the patients in the Emergency
Department, communicating with them and their family the nature of their condition
and its treatment, communicating and coordinating care within their team, arranging
consultation with other staff when appropriate, then arranging discharge and liaising
with local medical officers and other community based care modalities. Decisions
concerning the patients will be executed under the supervision and/or direction of
their immediate supervisor.

Position Requirements
Eligibility to work in Australia; Medical degree registerable in New South Wales; Completion of at least two years residency since graduation; Ability to work independently in a supervised environment; Preparedness and ability to participate on after-hours overtime and on-call rosters; Good communication skills as defined in NSW Medical Board Certificate of Good Standing; Ability to work in a multidisciplinary framework; Evidence of continued professional development and commitment to formal training; A professional attitude and flexibility in work role; Ability to move between services and geographical locations to deliver patient care; Compliance with rosters for out-of-hours and weekend duty as arranged by the Director of Emergency Medicine or delegate; To perform clinical duties under the supervision of specialist staff; Compliance with the Director of Emergency Medicine Training assessment of academic and clinical performances as well as attitudes and relationships; Ability to work in a computerised environment or preparedness to learn same; Communication skills with patients, relatives, medical and nursing colleagues and other staff; Motivation towards pursuing a career in Emergency Medicine or another specialist or non-specialist medical career in which further experience in Emergency Medicine will be of benefit.
Clinical: The Unaccredited Trainee will be expected to perform the following procedures competently; Safe and appropriate use of IV drugs, blood products and IV and subcutaneous fluids; Proficiency in basic cardiopulmonary resuscitation; Venepuncture; Blood sampling for arterial blood gas analysis; Insertion of a NG tube/or gastric tube; Intravenous cannulation; Application of plaster; Suturing; Produce appropriate discharge summaries (electronic and written); Development of clinical skills in relation to medical conditions frequently seen in hospital Emergency Departments, such as acute asthma, pulmonary oedema, chest pain, lacerations etc; Attaining basic procedural skills such as ENT procedures/nasal packing.
In addition, Unaccredited Trainees will be expected to: Become familiar with a “multi-system” approach to the assessment and comprehensive management; practical application of social and communication skills and philosophical principles as they relate to critically-ill patients; Gain knowledge of and experience in the performance (including indications and complications) and interpretation of a variety of specialised investigations in critically ill patients; Gain knowledge in the use (including indications and complications) of a wide range of therapeutic strategies and supportive agents commonly used; Gain understanding of the indications for and complications of a variety of invasive procedures including but not limited to: central venous cannulation; placement of intercostal pleural catheters; endotracheal intubation; cricothyroidotomy. Gain experience and confidence in public presentation;
Orientation: All new Trainees are expected to undergo formal corporate orientation in addition to orientation to specific hospital rotations; Formal corporate orientation includes: Fire and Emergency Training, OH&S, Human Resources, handover and after hours duties, overtime shifts, medical administration, Medico Legal Issues, Death Certificates, Medical Record Documentation, Prescribing, Clinical Applications Portal (CAP), Electronic Discharge Summaries and On-Line Imaging (PACS).
Each department holds specific rotations. Prior to commencing a rotation, The Unaccredited Trainee is also expected to contact the Recruitment Officer doing the rotation to discuss rosters. The Unaccredited Trainee is expected to ensure his/her Visa and NSW Medical Registration is current at all times. Supervision: Unaccredited Trainees are expected to supervise and guide more Junior Medical Officers in their diagnostic work-up, management, referral and disposition of patients.
Other responsibilities: To fulfill duties for each term as outlined in the Term Description; Participation in Departmental; Emergency Medicine Training Program; Continuing education program; Research programs where appropriate; Undergraduate and nursing education; Giving/receiving an appropriate “hand over” to/from after hours doctors regarding all patients being assessed or expected in the Department; Liaison with Department Heads regarding any problems which may arise in the exercise of these duties or other duties which may be delegated to The Unaccredited Trainee both in and out of hours; The review of all patient charts: daily; prior to discharge of patient; review of all results of patients discharged from the Department together with any necessary follow-up required as a result of abnormal finding (recall, contact with VMO, etc); Attendance at SRMO training days; Attendance at clinical meetings for the allocated term; Where appropriate, assisting in the informal instruction and formal teaching of more junior medical staff, undergraduates and nursing staff on rotation or assigned to the Department; Presentations at Department Meetings. In addition to the core competency standards, all Unaccredited Trainees are expected to comply with legislative, policy/protocol requirements as they relate to: Supervision requirements as set out by the NSW Medical Board; HNE Health’s Performance Management Policy; Occupational Health and Safety requirements as an employee; NSW Health Code of Conduct; Public Hospital Medical Officers Award.

Local Background & Environment

873,741 people, including 34,752 Aboriginal and Torres Strait Islander people (which equates to 21% of the state’s Aboriginal and Torres Strait Islander population)

  • 169,846 residents who were born overseas
  • Employs 15,912 staff including 1993 medical officers
  • Is supported by 1600 volunteers
  • Spans 25 local government areas

A major metropolitan centre
A mix of several large regional centres
Many smaller rural centres and remote communities within its borders.

Our Chief Executive, Michael DiRienzo, and the Executive Leadership Team work closely with the local health district Board to ensure our services meet the diverse needs of the communities we serve.

Our organisation’s vision and goals are aligned to those of NSW Health. At the same time, our strategic direction supports the principle of Excellence. Every patient. Every time.

Healthy people – now and into the future.

Keeping people healthy and in the community.
Providing world-class clinical services with timely access and effective infrastructure.

Hunter New England Health is recognised as a leader in the healthcare industry and we pride ourselves on the following strengths:

  • High quality, safe patient care
  • Skilled, hard-working and valued staff
  • A strong commitment to improving the health and wellbeing of Aboriginal and Torres Strait islander people
  • A dedicated Aboriginal Employment and Equity Unit
  • The best immunisation rates in the state
  • Highly developed telehealth and information technology services
  • Expertise in health promotion and prevention
  • A focus on innovation, teaching and research
  • Successful strategies to improve staff safety
  • Effective models of community participation

Key Internal and External Relationships
The Unaccredited Trainee 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. The position holder is required to communicate at a high level with a wide range of internal and external stakeholders. The position holder needs to display sound communication skills to deal effectively with administrative and medical staff.

Supervision Arrangements
Supervision and support for Trainees during normal hours: Immediate: Senior Medical officer. Within the Department: Staff Specialist, Consultant and Department Head. Within the hospital: Director of Emergency Medicine Training, Director of Emergency or chosen Delegate.
Supervision and support for Trainee after hours: Immediate: medical officer. Within the Department: Staff Specialist, Consultant and Department Head. Within the hospital: Senior Medical officer; By telephone: Consultant, Head of Department, Director of Emergency Medicine Training, Deputy Director of Medical Services, Director of Medical Services, Executive on call.
The Director of Emergency Medicine oversees Staff Specialists, Advanced Trainees, Trainees, Unaccredited Trainees, medical officers, Resident Medical Officers and Interns.

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 doctor 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
Unaccredited Trainees are required to: Refer all decisions concerning the patient(s) in consultation with their immediate supervisor; Exercise independent judgement, initiative and problem solving skills, but this should be exercised in consultation with supervising medical staff; Ensure appropriate input from key decision makers and achieve consensus when possible; Appropriately allocate teaching time according to evidence of learning need; Deal with matters in a confidential manner and; respect the professional values of staff.

The Unaccredited Trainee 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; Demonstrate ability to exercise discretion, sensitivity and maintain confidentiality; Demonstrate leadership within a team environment and actively contributes to team activities including pro-actively participates in team meetings and decision making processes; Demonstrate ability to Initiate and undertake discussions with patients and their families regarding their hospitalisation and progress and; Communicate effectively and in a timely fashion with consultants regarding the patients under care.

Performance Monitoring
Annual performance management to be based on pre-determined objectives established by the Director of Emergency Medicine and the Director of Emergency Medicine Training and the staff member responsible for junior medical staff welfare. The Unaccredited Trainee 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. Each Unaccredited Trainee will be allocated a Mentor to monitor performance, provide feedback and support where appropriate.

Additional Information

Training provided for Unaccredited Trainees include two full SRMO Education days per term; weekly hourly sessions provided by the Hospitalist Program; Support and Training from our appointed Education Advanced Trainees as well as many courses on offer through our SIM centre. We also offer a well- supported Certificate and Diploma in Emergency Medicine.

Once employed Unaccredited Trainees may be eligible to join the College and be promoted to Provisional Trainee. Our Network offers excellent training along with Special Skills Terms including, ICU, Anaesthetics, Retrieval, Education, Paediatrics, Administration, General Medicine, Toxicology.

Additional Documents

no addditional documents have been provided

Australasian College for Emergency Medicine

Organisation Chart

HNE Emergency Medicine Network Organisation Structure.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: Completion of at least two postgraduate years with a genuine interest in Emergency Medicine.

3: Significant experience in an Australian Emergency Department or equivalent.

4: Demonstrated ability to work independently in a supervised environment and work effectively as part of a multidisciplinary team.

5: Effective oral and written communication skills and demonstrated good organisational and time management skills.

6: Evidence of continued professional development and commitment to self-education.

7: Ability and willingness to work at the facilities within the Network to deliver patient care and preparedness and ability to participate in a 24 hour shift work roster.

8: Demonstrated commitment to quality improvement, patient safety and risk management.

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