Position Details
Position Title Rural Generalist
Position Number 20849
Employment Status Full Time - Exempt
Applications Close 07/08/2019
Maximum length of training contract 31/01/2021
Training Network/Training Rotation Rural Generalist Training Program
Centralised Panel Name Rural Generalist Training Program
Facility Bathurst Base Hospital, Berry Hospital, Broken Hill, Coffs Harbour Base Hospital, Dubbo Hospital, Grafton Base Hospital, Griffith Hospital, Lismore Base Hospital, Maitland Hospital, Manning Base Hospital, Moruya District Hospital, Orange Base Hospital, Port Macquarie Base Hospital, Queanbeyan District Hospital, Shoalhaven Hospital, South East Regional Hospital, Tamworth Base Hospital, The Tweed Hospital, Wagga Wagga Base Hospital
Specialty General Practice
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 NSW Rural Generalist Medical Training Program (RGTP) is a four year statewide training program with the aim to produce doctors who are general practitioners with advanced skills able to deliver services to rural communities. Please see attached information sheet for further information on the Rural Generalist training pathway. The Rural Generalist Medical Training Program involves advanced skills training at various facilities within rural Local Health Districts
Main Purpose of Position This is a 12 month training post as part of the NSW Rural Generalist Medical Training Program in either Anaesthetics, Obstetrics, Emergency/Obstetrics, Palliative Medicine, Paediatrics, Mental Health or Emergency Medicine.
Trainees of the Rural Generalist Medical Training Program will be engaged under
existing NSW Awards and determinations while undertaking the hospital component of training.
Trainees will commence or continue, general practice training following completion of the Advanced Skills Training year.
Position Requirements Appointment to this position requires:
• Proof of qualification (MBBS or equivalent) and evidence of appropriate registration authority.
• Registration as a Medical Practitioner with the Medical Board of Australia
• Completion of PGY1 and 2 (within Australia) is mandatory
• Confirmation of acceptance onto a General Practice training program (being either AGPT, RVTS or ACRRM independent pathway is mandatory prior to commencement of advanced skills training)
• Employment in the Australian health care system for a minimum of 12 months in the previous 24 months
• Commitment to participation in a rotating 24 hr/ 7 day a week roster
Key accountabilities:
• Medical practice within your scope of practice as a Rural Generalist trainee including:
a. Commitment to fostering and maintaining relationships with your respective Regional Training Organisation (RTO) or other general practice training provider
b. Hospital based training for an advanced skill training year
c. Practice in one advanced skill discipline
d. Commitment to maintaining clinical standards through participation in professional development, operating within the agreed scope of clinical practice relevant to and advanced skills trainee and completion of the requirements of the advanced skills training pathway for the relevant advanced skill.
e. Provision of evidence-based and quality clinical care of individual patients in all domains of medical practice:
f. Patient interview
g. Clinical examination
h. Identification of clinical problems and health opportunities
i. Plan of overall clinical care and health promotion
j. Maintenance of concise but comprehensive, accurate, legible records of patient stats and progress and associated correspondence.
k. Manage the administrative requirements of patient care including ensuring discharge summaries and medico-legal correspondence is completed with minimal delay.
• Participation in roster including after hours and weekend cover as required
• Participation in educational activities as prescribed by HETI / RGTP / College
• Act in accordance with the Local Health District Values Charter and the NSW Health Code of Conduct.
• Research – Initiate, facilitate and cooperate with research projects.
• Quality – Contribute to and participate in appropriate quality activities to improve the standards of care to patients.
Local Background & Environment For more information on each Local Health District (LHD) and specific facilities please refer to links active on the additional information section.
Facility specific information will be provided to successful Trainee/s on commencement.
Key Internal and External Relationships Advanced Skills Training Specialist Supervisor
Director of Medical Services (site specific)
Local Health District Director of Medical Workforce (or equivalent) Senior Medical Officers – Staff Specialists and Visiting Medical Officers Other Trainees and Junior Medical Officers
General Practice Supervisor
Nursing Staff
Allied Health Staff
Management and relevant Administration Staff
Regional Training Organisation (AGPT), RVTS or ACRRM independent pathway
The Health Education and Training Institute
Throughout the NSW Rural Generalist Medical Training Program (RGTP), the trainee will have an ongoing relationship with staff of the RGTP (HETI), relevant RTO and specialist colleges (refer to Pathway Descriptions).
Supervision Arrangements • Each Rural Generalist trainee will be allocated a Specialist Supervisor (during advanced skills training in the Local Health District), a GP Supervisor (during general practice training) and have access to a Medical Educator within the RTO and the Rural Generalist (Medical) Training Program staff for the duration of the program.
• Supervision during advanced skills training at the Local Health District – Specialist Supervisor
• Supervision during Community General Practice Training – GP Mentor, Medical
Educator
Challenges/Problem Solving • Balancing training and education requirements and service provision within the limitations of a busy public health service.
• Maintaining a professional role and responsibility for patient care, in close liaison with supervising consultants.
• Maximising the efficient utilisation of the physical resources of the LHD, RGTP (HETI) and relevant College/s.
• Being flexible with the work required in a range of rural facilities and locations.
• Managing time and competing priorities to enable participation in peer review and mentor support activities to build supportive relationships and professional growth and development.
• Developing clinical skills for a specific advanced skill set.
• Participation in a rotating 24 hour / 7 days a week on-site roster, as per local arrangement.
• Involvement in the management of sensitive issues in relation to critically unwell
patients, including discussions around the end of life care.
Decision Making The trainee will be supported by senior medical officers to develop skills that will enable them to make effective decisions concerning patient care and ultimately work autonomously within their scope of practice.
Communication The Rural Generalist trainee will work closely with all members of staff and will be
expected to:
• Communicate and behave in a manner that is appropriate and respectful of patients, their carers/family and other staff members.
• Communicate in a timely manner with RGTP staff, responding to requests and advising of issues / changes that may impact training circumstances and/or outcomes
• Work co-operatively within a team environment and actively contributes to team activities including pro-actively participate in team meetings and decision making processes.
• At all times, exercise discretion, sensitivity and maintain confidentiality.
• Comply with NSW Health Code of Conduct
• Comply with NSW Health Bullying and Harassment Policy & Guidelines - Link In Additional Information
• Work within specific LHD Guidelines - Link in Additional Information
Performance Monitoring Participating in ongoing review of your 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 professional competence.
The RTO will monitor progress throughout the General Practice Training period
for the program.
Rural Generalist State-wide Director of Training (HETI) will oversee the progress
and performance of trainees in consultation with the trainee, the LHD and the
RTO.
Additional Information

For more information on the NSW Rural Generalist Medical Training Program including pathway descriptions visit:

https://www.heti.nsw.gov.au/education-and-training/courses-and-programs/nsw-rural-generalist-medical-training-program

 

For the 12 months Emergency Medicine pathway, trainees will undertake the training requirements of either:

The Royal Australian College of General Pracctitioners (RACGP), Fellowship of Advanced Rural General Practice (FARGP) 

OR

The Australian College of Rural and Remote Medicine (ACRRM).

Curriculum can be found at:

RACGP Emergency ARST Curriculum

ACRRM Emergency AST Curriculum

 

Additional support may be provided for suitable candidates to continue towards the completion of the Australasian College of Emergency Medicine - Emergency Medicine Diploma.  For further requirements see:

ACEM EMD Curriculum

Additional Documents
2020 Advanced Skills Placements.pdf Open
3136-HETI_Flyer_A5_FA.PDF Open
College Other
Other College Royal Australian College of General Practitioners and/or Australian College of Rural and Remote Medicine
Organisation Chart RGTP Organisational chart 2020.pdf
Job Demands Checklist Click Here to View
Selection Criteria 1: At least two (2) post graduate years’ experience as a medical officer within Australia by the commencement of 2019 Clinical Year and have a genuine interest in a future career as a GP Rural Generalist with an advanced skill set.

2: MBBS or equivalent, currently registered or eligible for registration with the Medical Board of Australia

3: Applicants must be a current GP Trainee (enrolled in either the FRACGP/FARGP or FACRRM) via AGPT, RVTS or ACRRM independent pathway OR eligible for GP training AND in the process of applying (it is a requirement to enrol in FRACGP/FARGP or FACRRM).

4: Demonstrated commitment to providing both General Practice and advanced skills services within a rural location (preferred advanced skill and region to be stated).

5: Demonstrated ability to work within a complex clinical environment utilising appropriate clinical skills, judgment and expertise. An appreciation of the appropriate methods and channels for raising and resolving issues that may arise in the workplace.

6: Evidence of being a good communicator, including both oral and written skills and a sensitive approach to clear communication with patients, carers other professionals and the public.

7: Sound knowledge of NSW Health Code of Conduct and NSW Health CORE Values, including bullying and harassment policy and guidelines.
Contact Details Jennifer Wannan
02 6369 8975
jennifer.wannan@health.nsw.gov.au