Position Details
Position Title Provisional Trainee
Position Number 19693
Employment Status Full Time - Exempt
Applications Close 30/04/2019
Maximum length of training contract 02/02/2020
Training Network/Training Rotation Emergency Medicine Network 5 - Westmead Nepean Blacktown Mt Druitt Tweed
Facility Westmead Hospital
Specialty Emergency 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) Western Sydney Local Health District (WSLHD) and secondment hospitals
Main Purpose of Position Assess and manage, under supervision, patients presenting to the Emergency Department and admitted to inpatient wards when rotating to inpatient specialities.

The position supports meeting the requirements for provisional training with the Australasian College for Emergency Medicine (ACEM).
Position Requirements The Provisional Trainee will be required to participate in a 24/7 roster and may be rostered to day, evening and night shifts across a seven day roster.

Clinical Requirements
The Provisional Trainee is responsible for:
• Assessing and managing patients, including arranging appropriate investigations, reviewing and interpreting results, prescribing appropriate medications and organising referrals and consultations
• Maintaining accurate medical records and completing discharge letters/summaries, referral letters, medication prescriptions and death certificates accurately and in a timely way
• Consulting with and communicating with medical staff in the Emergency Department and other speciality teams in the hospital in regard to patient management plans, diagnostic requests and consultations
• Communicating with nursing staff, allied health and other members of the health care team in regard to management plans, diagnostic reports and consultations
• Ensuring effective follow up and continuity of care of the patients leaving the Emergency Department.
• Communicating with patients and family members in a respectful way

Research and Teaching
• Participate in the Emergency Medicine Department teaching and relevant weekly meetings
• Comply with ACEM provisional training requirements and examination requirements, including completion of In-Training Assessments( ITAs)
• Participate in Emergency Medicine Department quality activities
• Participate in teaching of interns, other junior medical officers, medical students, nursing and allied health staff

Supervision
The Provisional trainee will provide supervision to interns, postgraduate year two (PGY2) and other junior medical officers working in the Emergency Medicine department
Local Background & Environment Westmead Hospital is a key facility of one of Australia’s largest major health and medical research precincts and is the principal referral hospital for Western Sydney Local Health District providing district level health services to Parramatta, Holroyd and The Hills Shire LGAs including tertiary and quaternary services to greater western Sydney, greater metropolitan Sydney, rural NSW and other states. Westmead Hospital provides approximately 638 acute overnight, 30 day only and 52 subacute beds. The Westmead Health Precinct currently under development is envisaged to be the biggest hospital building project undertaken in Western Sydney and will transform the iconic but ageing Westmead Hospital into an innovative, contemporary and integrated centre that will continue to deliver high quality healthcare and expand the education, health and research capability of the area
Westmead Hospital is a leading centre of research, training and specialisations in all fields of medicine and dentistry, providing services in cardiology, cardiothoracic surgery, neurology, neurosurgery, kidney and pancreas transplantation, cancer care, obstetrics and gynaecology, neonatal intensive care, trauma, bone marrow transplantation, critical care, aged care and rehabilitation, adult acute psychiatry (networked with the co-located Cumberland Hospital) as well as other highly specialised medical and surgical services.
The Westmead Hospital Emergency Department (ED) operates 24 hours, 7 days per week and manages all types and levels of illnesses and injuries. As one of six major trauma centres in the state, the ED also cares for people with the most severe physical injuries.
Westmead Hospital ED presentation numbers are among the highest in the state
Critical care services within Westmead Hospital are provided by the Intensive care unit and the medical and surgical high dependency units. Other specialist services that provide a high dependency level of care for patients within their clinical specialty wards include the Coronary Care Unit, Renal and Pancreas Transplantation and Haematology
Over 120 different outpatient clinics for a number of different specialties and services provide ambulatory care to approximately 5,000 attendances per month.

Westmead Hospital is one of Australia’s largest centres for postgraduate training to specialist levels in all fields with over 100 PhD students and other postgraduate students supervised by Westmead Hospital scientists and clinicians. Westmead is home to internationally recognised institutes of health research, the most prominent being the Westmead Millennium Institute. The Westmead Millennium Institute is one of the largest medical research institutes in Australia, conducting research into a wide range of human disorders affecting both adults and children, including infectious and immune diseases, cancer and leukaemia, liver and metabolic diseases, eye and brain related disorders and heart and respiratory disorders.
Cumberland Hospital, co- located with Westmead Hospital provides primary and secondary mental health services to the local population and tertiary acute, extended and forensic mental health services to greater western Sydney and NSW. There is also a range of community mental health residential facilities, recovery support and specialist treatment services located on the campus. Westmead Hospital is also the principal referral centre for other major metropolitan hospitals within the district including Auburn Hospital and Blacktown and Mount Druitt Hospital.
Key Internal and External Relationships The Provisional Trainee will have a working relationship with the other members of the Key Internal Relationships
• Director of Emergency Medicine Training
• Director of Emergency Medicine and other Emergency Medicine Specialists
• Inpatient (wards) teams
• Nursing and Allied Health staff
• Hospital Administration

Key External Relationships
• Patients and their carers, family members
• Medical Specialists
• General Practitioners
• Paramedics and Police
Supervision Arrangements The Provisional Trainee will be supervised by the ED Staff Specialist and the ED Advanced Trainees on duty.
Challenges/Problem Solving • Working co-operatively with Emergency Department staff to ensure the efficient management of patients presenting for assessment and management, with a view to enabling appropriate process for all presenting patients.
• Working in a complex environment
• Time Management and Patient Priority
• Understanding the management of the critically ill patient
• Managing patients and families from many different cultural and religious backgrounds
• Supervision of a number of junior medical staff
Decision Making The Provisional Trainee’s level of decision making is determined locally based on the skills and experience of the trainee.
Communication The Provisional Trainee works as a member of the multi-disciplinary team and will communicate with patients and their relatives, medical colleagues, nursing staff, allied health staff and support staff as part of their role.
Performance Monitoring ACEM In –Training Assessments
Additional Information

N/A

Additional Documents no addditional documents have been provided

College Australasian College for Emergency Medicine
Organisation Chart WSLHD Organisational chart.pdf
Job Demands Checklist Click Here to View
Selection Criteria 1: MBBS or equivalent, current general registration with the Medical Board of Australia.

2: Selected into Fellowship training or has applied for Fellowship training by the Australasian College for Emergency Medicine (ACEM) ( NB: Must provide evidence of either selection or application into Fellowship training)

3: Demonstrated ability to work independently in a supervised environment.

4: Demonstrated ability to work effectively as part of a multi-disciplinary team with an understanding of the roles of the doctor and other members of the health care team.

5: Demonstrated high level written and verbal communication skills and ability to communicate effectively and respectfully with patients, family members and others members of the health care team.

6: Demonstrated good organisational and time management skills and ability to manage competing priorities in a complex environment.

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

8: Evidence of continuing professional development and commitment to self-education.
Contact Details Dr Geoff Mifsud
02 8890 7607
Geoff.Mifsud@health.nsw.gov.au