Position Details
Position Title Provisional Fellow
Position Number 20368
Employment Status Full Time - Exempt
Applications Close 22/07/2019
Maximum length of training contract 31/01/2021
Training Network/Training Rotation Anaesthesia Rotational Training Scheme Northern NSW (John Hunter Hospital)
Facility John Hunter Hospital
Specialty Anaesthesia
Sub Specialty None
Additional Training Focus Simulation
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Salary Band $81,639.00 to $127,539.00
Main Purpose of Position The purpose of this position is twofold.

1. To provide an opportunity for trainees (0.53 FTE) to develop sub-speciality expertise in education, training and research using simulation-based methodologies. This position will suit trainees with an interest in human factors and patient safety as well as those with an interest in education. The goal is to produce a Medical Specialist who is able to independently manage key components of simulation-based education and training.
2. To provide an outstanding opportunity (0.47 FTE) to develop and consolidate clinical skills by contributing to the delivery of high quality anaesthesia services for the patients of the Hunter New England Area.

Together these opportunities will enable a trainee to work towards obtaining Fellowship of the Australian and New Zealand College of Anaesthetists.
Position Requirements • Completion of at least four years in an accredited training position in
Anaesthesia recognised by the Australian and New Zealand College of Anaesthetists (ANZCA) and successful completion of all elements of Advanced Training.

• An interest in education, and education research, and/or an interest in Human Factors

• Recent experience in anaesthesia and/or intensive care, at the level of an Advanced Training Year 2 medical officer

• Satisfactory report of clinical performance from the Supervisor of Training or delegate
Local Background & Environment The Fellow will be based at the Hunter New England Simulation Centre (HNESC) on the John Hunter Hospital campus in Newcastle. The HNESC is one of the longest running centres in Australia and provides training for 4000 clinicians annually. It is housed in a state of the art purpose built facility with 10 full time equivalents of teaching, administrative and technical support staffing.
The Fellow will split their time between the Simulation Centre (0.53FTE) and clinical duties (0.47FTE).
Key Internal and External Relationships Key internal relationships: • Faculty and staff of the Simulation Centre • Participants of the Simulation Centre • Surgeons • Theatre Staff • Clinical streams
• Perioperative clinic • Hunter Integrated Pain Service • Multidisciplinary teams • Consumers/Carers • Other Clinical Divisions • Hospital Administration • The Doctor will be expected to work with other doctors, nurses, allied and clerical staff as part of his/her role.

Key External Relationships: • Consumer/Carers • GPs • Community • Police, Ambulance.
Supervision Arrangements 1. An individual training plan will be developed and agreed on by the trainee, the
Rotational Supervisor of Training, the Supervisor of Fellowship Training/Director of the HNE Simulation Centre at the commencement of the post.

2. Meetings between fellowship supervisor and trainee will be scheduled at minimum of 8 weekly intervals throughout the post. The purpose of these meetings will be to monitor progress towards achievement of learning objectives, to set and review ongoing training goals and to discuss any substantive matters that may arise during training.

3. There will be a formal evaluation at the conclusion of training. The trainee will maintain a learning portfolio and this will be reviewed at each supervisory meeting. Multi-source feedback will be obtained from Centre staff and participants and fed back to the trainee.

4. Clinical training

4.1 Normal Hours: • Operating theatre. The Fellow works in partnership with the “in charge” consultant on-site to manage patients within the Operating Theatre. They run their own theatre, occasionally with an allocated junior trainee under his/her supervision. • Perioperative clinic. The Fellow will run the perioperative clinic assessing patients for the elective surgery. They report to the Director of the Perioperative Clinic who is a senior Consultant. Extensive clinical guidelines are available to ensure appropriate management. • Pain Service. The hospital provides acute and chronic pain management for in- patients. The Provisional Fellow is expected to undertake this task on a regular basis, conducting the round with a pain nurse and a Fellow. Supervision is provided by the Pain Specialist of the day.
4.2 After Hours: The Fellow is “in charge” and responsible for supervising the afterhours medical staff under the supervision and support of a second-on-call senior Consultant via telephone or on-site according to the clinical situation. They will also provide leadership in the management of the operating theatres during this time, ensuring equitable access for patients to the operating theatres according to clinical need and adequacy of resources.
Challenges/Problem Solving Committing to developing and maintaining skills as a medical educator.
• Demonstrating sensitivity towards individuals exposed to potentially high stress situations in the learning environment.
• Working collaboratively with other staff in the Simulation Centre.
• Dealing with the workload of a busy simulation centre providing training for a wide variety of participants from the very junior to the very senior.
• Developing skills in the use of simulation-related technology including audiovisual systems and operation of a variety of mannequins
• Working collaboratively with other staff in the operating suite team.
• Dealing with the workload of a busy complex tertiary hospital.
• Providing anaesthesia outside theatre (angiogram suite, catheterization lab)
• Providing anaesthesia in non-tertiary hospitals with lower level of complexity of post-operative care.
• Dealing with the coordination of the operating suite complex, liaising with the in- charge nurse.
• Matching training requirements with service provisions, within the limitations of a busy public health service, whilst maintaining a professional role and
responsibility for patient care.
• Participating in the teaching of Senior Resident Medical Officers and medical officers.
• Ensuring consultation with family and carers in treatment plans
Decision Making To take on increasingly independent decision making in preparation for a
consultant role accordingly to the level of experience of the Provisional Fellow as determined by the Director of the Simulation Centre and the SOT.

• Decisions regarding clinical situations where the Fellow has adequate experience such as dealing with elective and emergency cases, pre-anaesthetic assessments, prioritizing emergencies, supervising the medical officer allocated to them, providing service for the Pain Team and the perioperative clinic are decisions that the Fellow is expected to make without consultation provided they feel comfortable with the level of complexity of the situation. Guidelines and protocols from the Australian and New Zealand College of Anaesthetists, NSW Health and the Anaesthetic Department for common critical situations are readily available to the Fellow and they are expected to refer to them (e.g. pain management protocols, algorithms for post-partum haemorrhage, epidurals in labour, management of local anaesthetic toxicity, among others).

• Consultation with other specialists is always expected when the Fellow does not feel that they have enough experience, considers that help is required to deal with the clinical or non-clinical task, when they need to care for more than one patient at the same time, and with any case involving neonatal and cardiac anaesthesia.
Communication The Fellow in Simulation works under the supervision and leadership of the
Director of the Simulation Centre, and Supervisor of Training.

For clinical duties, the Fellow works under the supervision and leadership of the Director of Anaesthesia. The Fellow in Anaesthesia is a key person within the department, 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 Written ongoing feedback from Specialist staff.
Completed evaluation forms every 6 months referred to the ANZCA by the Supervisor of Training.
Additional Information
Additional Documents no addditional documents have been provided

College Australian and New Zealand College of Anaesthetists
Organisation Chart 2018 - Organisational Chart for Anaesthesia.pdf
Job Demands Checklist Click Here to View
Selection Criteria 1: MBBS or equivalent, currently registered with the Medical Board of Australia.

2: Completion of minimum of 4 years clinical experience in an accredited training position in Anaesthesia recognised by the Australian and New Zealand College of Anaesthetists and success in the Final Fellowship examination of the Australian and New Zealand College of Anaesthetists OR equivalent

3: Demonstrated outstanding communication and inter-personal skills, both written and verbal, appropriate for a medical educator and anaesthetist

4: Demonstrated interest in a minimum of one or more of the following: medical education, and/or medical education research, and/or human factors and patient safety, and/or simulation based education and training, or all of the above

5: Demonstrated commitment to and experience with provision of clinical teaching and education to clinicians using adult learning principles and facilitation skills

6: Demonstrated commitment to continuing self-education including upgrading knowledge and skills in the fields of simulation based education and research

7: Demonstrated ability to function harmoniously, efficiently and collaboratively as part of high-performing team, with the initiative and judgement in prioritising time and resources, along with the capacity to work independently

8: Demonstrated commitment to scholarship including a willingness to participate in education research
Contact Details Dr Cate McIntosh