Organisation

NSW Health

Local Health District / Agency

Northern NSW Local Health District

Position Classification

JMO Trainee

State Award

Public Hospital Medical Officers (State) Award

Category

Medical Officers | General Medicine

Website

www.nnswlhd.health.nsw.gov.au/

PRIMARY PURPOSE

The primary purpose of the Trainee in Medicine is to provide safe and high quality care, assess and manage, under supervision, Medical patients. The trainee needs to be aware of their limitations and work in a collegiate and collaborate manner.

Decision making and supervision will be at the appropriate level according to the trainee's skills, knowledge and experience. The medical officer will be expected to adopt a progressively more independent approach to patient management according to their experience, under the guidance of and at the discretion of the appropriate Attending Medical Officer (AMO). 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 position supports meeting the prerequisites for training with the Royal Australian College of Physicians. It is designed to be an ideal year leading into Basic Physician Training; Trainees in this role will be working alongside Basic Physician Trainees and be included in the local education program.

RESPIRATOR USE

NSW Health workers may be required to use a respirator, as part of their appointment with NSW Health. Where a respirator is required for use, workers will be instructed in their safe use; including donning, doffing and fit checking. Staff may be required to complete fit testing to selected respirator/s to assess their facial fit/seal.

At all times when a health worker is required to use a respirator, the health worker must not have any facial hair present. Processes are in place to support workers that need to keep facial hair due to religious observance requirements and/ or health conditions.

ESSENTIAL CRITERIA

• MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia in an appropriate registration category.
• International Medical Graduates see advice here https://www.health.nsw.gov.au/careers/Pages/medical.aspx
• Completion of at least two postgraduate years of medical practice (PGY3+ at commencement of position).
• This position is subject to an appropriate supervision level which can be supported by the health agency. If the incumbent's registration conditions include supervision requirements, the level of supervision must be able to be supported by the health agency for this role.
• Possess a valid, unencumbered, Driver's Licence for use in NSW/Australia, as staff may be required to travel between sites as part of their employment requirements
• Valid Working with Children Check
• Cleared National Police Check
• Aged Care Check for Australian Government funded positions
• To be employed by NSW Health you are required to provide evidence of vaccination to comply with the NSW Health Occupational Assessment, Screening & Vaccination against Specified Infectious Diseases Policy, this includes any amendments made from time to time.

KEY ACCOUNTABILITIES

• Under appropriate supervision, provide General Medical care to ensure the provision of high-quality clinical services to hospital patients. This includes ongoing and emergency care.
• Under appropriate supervision, assess and manage common and acute Medical conditions and emergencies.
• Communicate patient-relevant information in a timely and clear manner to patients and their families/carers and all staff involved in the patient's care, to facilitate shared decision-making and timely information transfer.
• Ensure accurate documentation in relation to patient care, whilst maintaining confidentiality and privacy, to ensure timely and efficient communication, and that patient records are effective and accurate for current and future use. This includes preparing treatment plans, correspondence with other treating practitioners, entry into medical records, referrals, discharge summaries, reports, certificates and any other documentation in relation to patient care and management.
• Contribute to teaching other clinical staff, to ensure an optimal learning environment, promote growth and development of others, and to develop skills in teaching. Teaching may include participating in/assisting with/leading formal education sessions, providing learning experiences on the job, case presentations, giving constructive feedback and informal instruction, undertaking formal/informal assessments, role modelling and mentoring.
• Supervise other clinical staff, to enable them to develop the competence and knowledge required for responsible practice, promote team building and a supportive environment, enhance their performance, monitor their welfare, and contribute to development as a supervisor. Supervision includes clinical supervision, checking work is conducted to standards, providing constructive feedback and guidance, contributing to professional development, assisting to solve problems, and clinical workload management.
• Contribute to research projects to contribute to scholarly knowledge that leads to better patient outcomes and to develop skills and understanding of the quality research including research methods, ethics, managing conflict of interest, obtaining informed consent, recruiting and supervising participants, and understanding scientific principles.
• Participate in and contribute to the Department's quality assurance activities to ensure that appropriate standards are maintained, gaps in safety and quality standards are identified, and to contribute to the continual improvement of the department and the service provided by the hospital. This includes audit activities, morbidity and mortality meetings, quality improvement programs, peer review, relevant committee participation, root cause analyses, infection control reporting, and complaints investigations.
• Actively monitor and manage own mental and physical wellbeing, reporting concerns and seeking assistance when needed.
• Meet training program requirements, participate in education, and actively seek to learn and obtain feedback in order to develop and understand your own skills, knowledge and capability; and therefore to exercise judgement and know when to seek assistance.

KEY CHALLENGES

• Manage competing priorities and delegate/escalate appropriately within a complex clinical environment.
• Balancing college and/or hospital mandated training and education requirements with the delivery of high level medical care and services in a challenging, demanding and varying environment
• Participate in difficult and critical conversations with colleagues, patients, families, clients and carers.

KEY RELATIONSHIPS

Who

Why

Patients/Consumers/Families/carers/guardians accompanying a patient

To communicate information regarding hospitalisation, treatment, and progress in a sensitive, timely, and clear nature as essential for optimal patient care and experience

Consultants providing clinical supervision, Head of Department and consultants overseeing training programs (e.g. Director of Emergency

Medicine Training, Director of Emergency Medicine)

To enable positive working relationships whilst under direct supervision to facilitate learning in line with training requirements To ensure the provision, maintenance and progression of professional, high level clinical services and standards To enable supportive working connections whilst operating in a challenging and complex environment, with the aim of upholding personal health and wellbeing through open communication channels to seek advice on clinical, educational and personal matters

Inpatient (ward) teams, including other clinical staff/streams/divisions across medical, nursing and allied health

To co-coordinate patient care and follow up as part of a multidisciplinary team and across other supporting teams that is timely, progressive and positive for each clinical care episode To promote positive working relationships between inpatient professional groups, we all as support and maintain the need for a cooperative, and harmonious multidisciplinary working environment where everyone is supported to contribute and share professional advice

Community based health professionals and services, including General Practitioners and

emergency services such as Police and

Ambulance

To maintain continuity of high level health care in the transition to home and local based care To provide the patient with links to non-hospital based clinicians and emergency services and assistance with identifying sources of information to achieve health outcomes To promote best clinical practice through collaborative efforts between primary care providers and hospital providers To continue to promote and maintain a positive image of the Local Health District as a key public health provider

SELECTION CRITERIA

1. Qualifications and experience commensurate with the Essential Requirements for the role (please address these in your response)
2. Adept ability to work independently within a supervised complex clinical environment utilising excellent clinical skills, judgment and expertise.
3. Adept ability to work collaboratively within multi-disciplinary teams, including the sharing of appropriate information internally and externally with key persons or services.
4. Proficient verbal, written and interpersonal skills, with the capacity to vary communication style in line with the understanding of the needs of diverse audiences.
5. Sound ability to prioritise workloads and display a flexible approach to meet changing situations in a demanding and unpredictable clinical environment.
6. Demonstrated commitment to quality improvement, patient safety and risk management.
7. Commitment to participating in training and development opportunities to further develop skills and knowledge in the area of Adult Internal Medicine.

OTHER REQUIREMENTS

• Model the NSW Health CORE Values of Collaboration, Openness, Respect and Empowerment.
• Participate in a 24/7 roster and may be rostered to day, evening or night shifts across a seven day roster; participate in an after-hours roster including nights and weekends.
• Move between services and geographical locations to deliver patient care
• Participate in ward rounds and clinical handover, to transfer information, accountability and responsibility for a patient or group of patients, following the ISBAR protocol, National Australian Standards. Clinical handover happens within and between Medical, Surgical, Emergency, Paediatric and Critical Care teams.
• Complete mandatory training as required by the hospital, local health district or specialty network, and NSW Health
• Attend all applicable organization-wide, hospital, department and role orientation sessions
• Abide by all conditions/provisions of employment as outlined in the relevant Award
• Conduct all required responsibilities and tasks of the role in a manner that is consistent with legislation, local and state-wide delegations, procedures, policies and manuals, which include but are not limited to the following areas:
• NSW Health Code of Conduct
• performance management and development
• work, health and safety
• records management
• confidentiality and privacy

• All staff are expected to take reasonable care that their acts and omissions do not adversely affect the health and safety of others, that they comply with any reasonable instruction that is given to them and with any policies/procedures relating to health or safety in the workplace, as well as notifying any hazards/risks or incidents to their managers.
• For accredited training roles, comply with the relevant specialist medical college's training and examination requirements
• Act as role model and promote a culture and supporting practices that reflect the organisational values through demonstrated behaviours and interactions with patients/clients/employees
• Comply with supervision requirements as set out by the Australian Health Practitioner Regulation Agency