Position Details
Position Title Provisional Fellow
Position Number 17262
Employment Status Full Time - Exempt
Applications Close 20/08/2018
Maximum length of training contract 02/02/2020
Local Health District Northern Sydney Local Health District
Facility Royal North Shore Hospital
Specialty Intensive Care Medicine
Sub Specialty None
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Registrar
Salary Band $81,639.00 to $127,539.00
Current Rotations/Networks (which may change from time to time) The Provisional Fellow in ICU & Simulation Education is a shared position with 0.5 Full Time Equivalent (FTE) in the Intensive Care Unit Education and 0.5 FTE in the Simulation Centre.
Main Purpose of Position This position is a 1 full time teaching position.

The Provisional Fellow in ICU & Simulation Education is a non-clinical position with 0.5 Full Time Equivalent (FTE) teaching and learning in the Intensive Care Unit and 0.5 FTE teaching and learning in the Simulation Centre.
The position:
- Involves a structured program comprising graded workplace learning and supervised practice relevant to the provision of simulation training for a multi-professional healthcare audience.
- Involves working with the SCSSC in the delivery of the Simulation subject of the University of Sydney Masters of Medicine: Critical Care
- Has responsibility for organising, delivering and participating in a variety of educational initiatives across the Intensive Care Unit to support the training needs of the 70 medical officers that rotate through the 58 bedded quaternary ICU each year, as well as to support the training needs of the multi-professional team of staff across the unit.
- Involves working collaboratively between the ICU, SCSSC, other specialities and external stakeholders
Main areas of practice:
• Acquisition of knowledge and skills and workplace experience relevant to simulation-based and intensive Care – based education and training (See Appendix 1). One of the key roles of the Fellow is to undertake an experiential apprenticeship in simulation based education and training. Another key role is to gain experience at organising, delivering and participating in a variety of educational initiatives across the Intensive Care Unit including simulation exercises, workshops, courses and eLearning programmes. The position will involve face-to-face teaching and development and preparation of curricular or educational materials.
• Working with the SCSSC team in the delivery of the Simulation subject of the University of Sydney Masters of Medicine: Critical Care (MMCC). The MMCC is a postgraduate degree program for doctors with an interest in critical care medicine and involves asynchronous distance and face to face simulation training. Under the supervision of the subject coordinator, in this role the fellow will liaise with and support a small cohort of distance education students via a learning manage system, contribute to marking assessments and will participate in the faculty providing face to face workshop training.
• The Fellow will be encouraged to participate in existing research programmes and may work toward co-authorship on studies in progress. He or she will be encouraged to initiate and see to completion a small research project which can be completed within the period of the program. Any research undertaken by the Fellow will have an appropriately designated supervisor.
• Acquisition of general skills relevant to the workplace, team-working and management obtained from participation in the general operational aspects of the SCSSC and team function as well as participation in the general operational aspects of the educational needs across the ICU including attendance at the Staff Specialist meetings and the bi-weekly patient handover meetings.
• It is essential that the Fellow observe standard codes of conduct with respect to Intellectual Property and Academic Conduct.
Position Requirements 1. General

• MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia.
• Minimum of one year of advanced training in intensive care medicine (or stage 2 trainee of Faculty of Intensive Care Medicine, United Kingdom) and one year of training in Anaesthesia.
• Completion of Fellowship Exam of the College of Intensive Care Medicine (Australia and New Zealand) or international equivalent (for example, the Diploma or Fellowship of the Faculty of Intensive Care Medicine (UK) or the European Diploma of Intensive Care Medicine)
• Demonstrated experience in health-professional education and excellent written and verbal communication skills
• Demonstrated commitment to development of scholarly and project skills relevant to this position.
• Ability and willingness to work in a focussed manner on one or more of the specific programs managed by the SCSSC and Intensive Care Unit
• Ability and willingness to work from multiple sites, including other hospitals and travel to rural locations
• Ability and willingness to work effectively within a multi-professional team, and contributing to the general operation of the SCSSC and ICU education teams.


2. Clinical

• Experience and training in the delivery and management of intensive care medicine, as practiced in a tertiary referral centre including experience in cardiac-surgical, neurosurgical and post-trauma intensive care.
• Ability to work in a multi-disciplinary framework
• Demonstrated teamwork, time management and problem solving skills in a complex hospital based clinical environment.
• Excellent verbal and written communication skills
3. Research and Teaching
• A demonstrated interest in clinical and / or laboratory research.
• Interest and experience in the organisation, teaching, rostering and mentoring of junior medical staff


Vaccination
Employment is subject to you having current immunity status that complies with the Occupational Assessment, Screening and Vaccination Against Specified Infectious Diseases PD2011_005.
Appointment and ongoing employment will be subject to continued compliance of all NSW Health Policy Directives.


Leave Matters
Royal North Shore Hospital recommends that to keep coherent with college accredited courses and time requirements, applicants on / or commencing a training program request to have their ADO balances paid out prior to commencing with Royal North Shore Hospital.


Sydney Clinical Skills and Simulation Centre

The SCSSC is a training centre for health students and professionals based on the campus of Royal North Shore Hospital. It comprises two main educational streams, Clinical Skills and Simulation. The Simulation stream is part of the Northern Sydney Local Health District Directorate of Workforce Development.
The target clientele are health care professionals internal to Northern Sydney Local Health District (NSLHD) and the University of Sydney plus a wide range of external stakeholder groups from NSW and Australia. Its core business is education and training of health care professionals who work in clinical teams using innovative team-based training methods in a synthetic training environment. The focus of training is on the performance of health professionals and the interface of humans with the complex health care system. Multi-professional, team-based training is heavily emphasised. Training is delivered face-to-face using a variety of mediums and occurs on-site and off-site. The centre also undertakes educationally-based projects, and other services such as assessment, consultancies and research.

Education programs specifically relevant to this role include:
• Effective Management of Anaesthesia Crises (EMAC)
• Emergency Response Updates: Anaesthesia
• High Acuity Resuscitation Team Training (HARRT)
• Instructor Development Skills 1 and 2
• 1 Up Instructor Development Skills
• Speak Up
• Advanced Life Support (ALS)
• Master of Medicine – Critical Care
• See http://www.scssc.edu.au/training/courses/list/alphabetically.php

Further information is available on our website: http://www.scssc.edu.au/
Supervision Arrangements:
Dr Leonie Watterson (Director)
Dr Adam Rehak
Supervision and support for medical officers:
• Immediate – Clinical Nurse Educators, Technical Operations Manager, Specialists, Director of SCSSC
• Within the hospital – Supervisor of Training, Director of SCSSC, Deputy Director of Medical Services, Director of Medical Services
• By telephone – all of the above plus Junior Medical Staff Unit on-call and Executive on-call.


Royal North Shore Hospital Intensive Care Unit

Within the Northern Sydney Local Health District (NSLHD), there is a network of adult intensive care units based at Royal North Shore, Hornsby, Manly and Mona Vale Hospitals (latter two soon to be relocated to the new Northern Beaches Hospital at Frenchs Forest). Royal North Shore Hospital has a 58-bedded quaternary intensive care unit that acts as a state referral centre for patients with major trauma, burns and spinal injuries, and also treats complex medical and surgical patients. There are 2 general intensive care units and 2 specialty surgical units that provide specific acute neurosurgical and cardiothoracic care for emergency and elective patients. During the year approximately 70 junior medical officers rotate into a multiprofessional workforce of approximately 350, all of whom require regular education, training and credentialing. The successful applicant will be responsible for organising and participating in educational initiatives including:
• Weekly multiprofessional in situ simulation training
• Simulation based training courses including intensive care emergency management and emergency airway management
• Supporting delivery of study days and workshops
• Supporting quality improvement initiatives
• Supporting education-based evaluation and research
• Development of new courses and educational resources including e-learning

Further information is available on our website: http://www.rnshicu.org/

Supervision Arrangements:

Dr Jonathan Gatward, Staff Specialist, Lead for ICU Medical Education and Simulation
Supervision and support for medical officers:
• Immediate – Specialist in charge of ICU Medical Education and Simulation, Specialists on duty for each of the Intensive Care Units, Director of Intensive Care Department
• Within the hospital – Deputy Director of Medical Services, Director of Medical Services
• By telephone – all of the above plus Junior Medical Staff Unit on-call and Executive on-call.

Roles of positions supervised:
• Medical officers (all grades)
• Medical students
• Clinical Observers
• Nursing staff (all grades)


The Fellow 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
• Participating in quality assurance activities including mortality and morbidity and Root Cause Analysis teams
•Participate in departmental meetings and Hospital committees to which formally appointed.

APPENDIX 1 - Knowledge skills and workplace experience relevant to simulation-based and Intensive Care – based education and training If completed at a satisfactory level, by completion of the fellowship, the Fellow will have the relevant knowledge, skills, attitudes and workplace experience to undertake the following roles:
1. Simulation-based education
2. Team-Leading and Independent Practice
3. Designing Educational Programs
4. Educational project management
5. Scholarly practice and research skill
6. General team-working and workplace behaviours:

1. Simulation-based education
Develop competencies relevant to teaching and learning in a simulated environment:
• Understand and apply competencies of non-technical skills and systematic management of clinical emergencies:
• Acquire instructor skills relevant to these
• Have experience with delivery of training conducted within simulation laboratories and a range of distributed learning environments such as mobile and in situ simulation
• Have experience and be fluent teaching a range of educational methods. These include:
o Scenario-based learning
o Reflective learning and debriefing after simulated scenarios
o Pause and discuss
o Clinical skills workshops
o Video-based discussions
o Games
• Have experience and be fluent in a range of skills required to be a provider of simulation-based training. These include:
o Operation and programming of simulators: [METI HPS, ECS; Laerdal SimMan]
o Operation of Audio-visual technologies
o Management of the simulated training environment
• Have experience and be fluent teaching a range of relevant target learners. These include:
o Emergency Physicians and Emergency Trainees
o Anaesthetists
o Intensive Care staff
o Junior Medical Officers
o Nurses
o Armed Defence Force Personnel
o Other learner groups would depend upon background and interests of the trainee.
• Have experience and be fluent teaching a representative range of training courses.

These may include:
o Airway skills based courses
o Management of Intensive Care based emergencies
o Emergency Medicine Crisis Management (EMCM)
o Effective Management of Anaesthesia Crises (EMAC)
o High Acuity resuscitation Response Team (HARRT)
o Emergency Team Training (ETT)
o Paediatric Emergency Training and Advanced Life Support (PETALS)
o Other courses would depend upon background and interests of the trainee.

2. Team-Leading and Independent Practice
• Develop competencies relevant to independent teaching
• Understand the specific principles and practices relevant to team leading in this environment including group dynamics, privacy, confidentiality and risk management.
• Be able to provide basic customer services and support for participants
• Develop skills required to team-lead a course and its faculty
• Consolidate practice on a variety of courses.

3. Designing Educational Programs
• Acquire skills relevant to designing and implementing simulated educational programs.
• Be able to undertake a needs analysis and stakeholder consultation for a given target group
• Develop a curriculum and develop educational content
• Operationally manage a course
• Develop an evaluation process

4. Educational Project Management
• Acquire skills relevant to educational project management
• Work effectively as part of a project team understanding diverse roles, skill sets and communication processes
• Understand the interdependency of project design with project management and refer continually to a project management framework and plan
• Work within a project management framework inclusive of timelines, milestones and deliverables; communication and marketing plans; meeting scheduling; web-based project management platforms and reporting requirements
• Be able to undertake stakeholder consultation

5. Scholarly practice and research in simulation
• Understand the principles of research relevant to simulation education
• Understand the basic principles quantitative and qualitative research
• Understand principles of educational program evaluation research
• Perform a literature search
• Evaluate and present data using conventional scientific methodology
• Demonstrate the ability to write reports and basic scientific manuscripts using appropriate conventions, styles and language
• Submit an abstract or manuscript

6. Workplace, team skills and general management skills. Be able to function effectively and productively within a multiprofessional team-based workplace. Understand and demonstrate:
• The factors that contribute to effective office-based teamwork
• The general principles of effective management of people and workplace operations.
• The operation of a multiprofessional team meeting, along with the tasks of a chairperson and the attributes of a good chairperson.
Local Background & Environment Northern Sydney Local Health District (NSLHD) provides public health services in the Local Government Areas of Hornsby, Ku-ring-gai, Manly, Pittwater, Warringah, Ryde, Mosman, North Sydney, Willoughby, Lane Cove and Hunters Hill.
Formerly part of Northern Sydney Central Coast Area Health Service, NSLHD came into being on 1 January 2011 and is one of 18 Local Health Districts under the auspices of the NSW Health Department. With a growing and diverse workforce of approximately 8,350 employees, NSLHD provides a wide range of public health services to a population of approximately 840,000.Reporting to the NSW Health Department and a Local Governing Council, NSLHD has at its helm a Chief Executive who is responsible for delivering quality healthcare and the overall performance of NSLHD. The Chief Executive is ably assisted by an experienced executive team and receives advice from clinicians through Clinical Councils.
While Royal North Shore Hospital is the major referral and teaching hospital, Ryde, Hornsby Ku-ring-gai, and the Northern Beaches Hospitals (latter two soon to be relocated to the new Northern Beaches Hospital) play an integral role in acute service delivery and the training of clinicians.
Supporting the acute hospitals are a number of Community Health Centres throughout the region and a strong community health team.
NSLHD has developed strong and effective clinical networks with other Local Health Districts.

Key Internal and External Relationships The Fellow will be required to establish and maintain relationships across a range of partners and stakeholders, in particular;
• Other Medical Services, Emergency and Operating theatres
• Junior Medical Officers, Sector and Secondment Hospitals
• Medical Staff, Sector and Secondment Hospitals
• Medical Administrative Staff, Sector and Secondment Hospitals
Supervision Arrangements Simulation Centre:

Dr Leonie Watterson (Director)
Dr Adam Rehak
Supervision and support for medical officers:
• Immediate – Clinical Nurse Educators, Technical Operations Manager, Specialists, Director of SCSSC
• Within the hospital – Supervisor of Training, Director of SCSSC, Deputy Director of Medical Services, Director of Medical Services
• By telephone – all of the above plus Junior Medical Staff Unit on-call and Executive on-call.

ICU:
Dr Jonathan Gatward, Staff Specialist, Lead for ICU Medical Education and Simulation
Supervision and support for medical officers:
• Immediate – Specialist in charge of ICU Medical Education and Simulation, Specialists on duty for each of the Intensive Care Units, Director of Intensive Care Department
• Within the hospital – Deputy Director of Medical Services, Director of Medical Services
• By telephone – all of the above plus Junior Medical Staff Unit on-call and Executive on-call.

Challenges/Problem Solving • Working collaboratively with other staff in a multiprofessional team.
• Developing and exhibiting good communication skills.
• Demonstrating initiative to resolve issues.
• Being flexible with the work required in a range of Health Services and locations.
• Developing strong working relationships with a multiprofessional workforce.
• Understands and is committed to organisational mission and goals.
• Sharing information and learning experiences with colleagues.
• Participating in the planning, organisation and delivery of in-house education for staff of the Intensive Care Unit under the guidance and supervision of the Intensive Care specialists with responsibility for education
• Demonstrating a commitment to personal development as a professional
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.
• To exercise independent judgement, initiative and problem solving skills, but this should be exercised in consultation with supervising 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.
• 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.
• Prioritisation of own workload in consultation with the Manager.
Communication The Fellow 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 A performance assessment will be conducted within 3 months following commencement to ensure:
• You have attended a facility/site orientation
• There is mutual satisfaction in your work performance
Each 12 months you will be interviewed, by your supervisor, to ensure:
• You have attended annual Fire Safety Training
• You are able to carry out Work instructions safely and have an understanding of relevant Safe Operating Procedures as required by your Position Description and Departmental Policies and Procedures
• There is continued mutual satisfaction in your work performance
Additional Information
Additional Documents no addditional documents have been provided

College
Organisation Chart ICU and Simulation Education Provisional Fellow.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 one year of advanced training in intensive care medicine (or stage 2 trainee of Faculty of Intensive Care Medicine, United Kingdom) and one year of training in Anaesthesia

3: Completion of Fellowship Exam of the College of Intensive Care Medicine (Australia and New Zealand) or international equivalent (for example, the Diploma or Fellowship of the Faculty of Intensive Care Medicine (UK) or the European Diploma of Intensive Care Medicine)

4: Demonstrated experience in health-professional education and excellent written and verbal communication skills

5: Demonstrated commitment to development of scholarly and project skills relevant to this position

6: Ability and willingness to work in a focussed manner on one or more of the specific programs managed by the SCSSC and Intensive Care Unit

7: Ability and willingness to work from multiple sites, including other hospitals and travel to rural locations

8: Ability and willingness to work effectively within a multi-professional team, and contributing to the general operation of the SCSSC and ICU teams
Contact Details Dr Jonathan Gatward or Professor Leonie Watterson Leonie@leoniewatterson.com
02 9926 7111
jonathangatward@gmail.com