Position Details
Position Title Unaccredited Trainee
Position Number 21124
Employment Status Full Time - Exempt
Applications Close 16/08/2019
Maximum length of training contract 31/01/2021
Local Health District South Eastern Sydney Local Health District
Facility St George 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
Main Purpose of Position Applications are invited for the above position in the Department of Emergency Medicine at the St George Hospital in Sydney.
Successful PGY3 level applicants will work in a fully supervised role. Successful PGY4 and above applicants may work in a fully supervised role or in a more independent, senior role.
The St George Hospital is a tertiary teaching hospital of South Eastern Sydney Local Health District and is affiliated with the University of New South Wales.
It is the designated major trauma centre in the south eastern region of Sydney. The department treats more than 80,000 patients annually. Approximately 25% of presentations are children seen in our Paediatric Emergency Unit. There is also a 10-bed Emergency Department Short Stay Unit (EDSSU).
St George has 24 month accreditation by the ACEM for Emergency Medicine training. The Emergency Department currently has a dedicated group of
Emergency consultants providing 16 hour on site cover, 7 days a week.
There is an extensive training program in place with 3-4 hours of weekly protected teaching time. This program has been tailored to the needs of Emergency trainees and includes regular SIM training, ultrasound in the ED, and a paediatric emergency teaching program with education provided by dual-trained emergency/paediatric consultants.
St George trainees have an outstanding track record in both primary and fellowship examinations.

Fellowship and primary preparation is extensive with weekly focused examination preparation sessions. We also participate in the NSW fellowship course.
In addition to the above, our consultants participate in regular bedside teaching for our trainees
There is a well-established research program in place with an appointed FACEM Director of Research assisting our trainees in producing high quality research for presentations at scientific meetings and publications.
The Unaccredited Emergency Medicine Trainee position is ED-based but there is an opportunity for an ICU rotation depending on availability.
Full-time ED medical staff work 4 ten-hour shifts a week. Part-time positions can be considered on a candidate-by-candidate basis.

All successful applicants will be offered a 1 year contract.
Main purpose of this position is to provide effective medical services to patients under supervision, while developing expertise in emergency medical practice, pending acceptance onto the ACEM training program.
The role of the Unaccredited Emergency Medicine Trainee is to:
1. Provide clinical supervision to junior medical staff.
2. Have direct clinical involvement in the care of all patients, particularly the critically ill.
3. Be actively involved in teaching, research and quality programs.
Position Requirements 1. Qualifications
The Unaccredited Emergency Medicine Trainee should be intending to enrol with, the Australasian College for Emergency Medicine. The college has a structured training scheme which includes primary and fellowship exams, research requirements, and clinical Emergency and non emergency requirements.
2. Clinical
The Unaccredited Emergency Medicine Trainee should be competent to obtain appropriate history, perform physical examinations, order and interpret appropriate tests and initiate appropriate management for a wide range of conditions that may present to an Emergency Department. This should cover both adult and paediatric patients. The level of assessment and management would depend on the experience of the doctor. The doctor should be aware of their level of experience and be able to seek appropriate assistance from senior staff.
Some of the technical procedures that are expected to be competently performed include IV cannulation, arterial gas collection, central line and arterial line insertion, lumbar puncture skills, chest drain insertion, urinary catheter insertion, replacement of dislocated joints, basic and advanced life support. Trainee competency in these procedures will depend on their level of experience. Training and supervision will be provided in all of these procedures to improve competence.
Other clinical skills which would be of benefit include ultrasound use but are not necessary.
3. Research and Teaching
The Unaccredited Emergency Medicine Trainee will be expected to participate in research that the department is undertaking. They are encouraged to be actively involved in the process of research and the components that make up research. The Unaccredited Emergency Medicine Trainee is expected to attend teaching. Protected teaching time is provided.
4. Orientation
New Unaccredited Emergency Medicine Trainees undergo an extensive orientation including the provision of an orientation manual. This is provided at the start of each term and for each new Trainee before they start clinical duties. Supervision
The Unaccredited Emergency Medicine Trainee is expected to provide support but not supervision of interns and residents in the Emergency Department. They are expected to work with the senior nursing staff and provide advice if required to nursing staff.
5. Other responsibilities
The Unaccredited Emergency Medicine Trainee is expected to be aware of policies and guidelines affecting the Emergency department and Emergency department patients. They are expected to know where this information and information regarding other Local Health District Policy can be found, both in the form of material available via the area intranet service as well as hard copy folders such as disaster manuals etc.
Local Background & Environment The St George Hospital Emergency Department is one of the busiest in New
Environment South Wales and usually the busiest in Sydney. Approximately 80,000 patients per year attend the Emergency Department of whom 25% are less than 16 years of age. There is an admission rate of 35-40% for adults and we are the trauma centre for southern Sydney and parts of rural NSW. The Emergency Department has a purpose built short stay ward (EDSSU). Emergency Physicians provide direct clinical cover from 8:00am to midnight 7 days a week. There is a consultant on call 24 hours per day. Emergency Medicine Trainees provide 24 hour 7 day per week cover
There is 24 hour on site Advanced Trainee cover for the following services:
• Intensive Care
• General Medicine
• General Surgery
• Paediatrics
• Obstetrics & Gynaecology
• Anaesthetics
• Psychiatry
• Radiology (including CT reporting)

There are subspecialty Advanced Trainees on call outside normal working hours for:
• ENT
• Faciomaxillary Surgery
• Plastics
• Orthopaedics
• Urology
• Neurosurgery
• Cardiology (for specific procedures eg. urgent pacing, echo, angioplasty)
• Hand surgery and ophthalmology services are obtained via Sydney Hospital.

Some Paediatric surgical patients and some paediatric patients requiring subspecialty or close observation may require transfer to Sydney Children’s Hospital)

Biochemistry, Haematology, Microbiology and Blood Bank services are available 24 hours. Some specific tests (eg. drug levels) are only performed in normal working hours unless there is true clinical urgency.
Medicare provider numbers may be required in order to refer patients for appropriate follow up and treatment
Key Internal and External Relationships The Unaccredited Emergency Medicine Trainee will be liaising with a variety of people who will have involvement in the clinical management of patients
Relationships that present to the Emergency Department. This includes doctors within the department and doctors for the various speciality teams. There will be direct involvement with nursing staff, allied health staff, psychiatry staff, and security in regards to patient management.
The Unaccredited Emergency Medicine Trainee may perform case related and educational presentations but are not expected to represent the Emergency Department on organisational matters
Supervision Arrangements There is direct supervision of the Unaccredited Emergency Medicine Trainee in the Emergency Department by Emergency Department Staff Specialists
(All fellows of the Australasian College for Emergency Medicine) between the hours of 0800 to 2400 seven days a week.
Emergency Staff Specialists are on call on a rotating roster between 2400 and 0800 hrs.
Successful PGY3 level applicants will work in a fully supervised role. Successful PGY4 and above applicants may work in a fully supervised role or in a more independent, senior role.
The Unaccredited Emergency Medicine Trainee is supervised by the Director of Emergency Medicine Training, who provides each individual medical officer with term appraisals.
Challenges/Problem Solving 1.To be able to review unwell and undiagnosed patients in a stepwise and safe fashion
2.To provide support and advice to junior medical staff
3.To assist the senior nursing staff in the flow and disposition of patients in the Emergency Department
•Balancing training and education requirements with 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.
•Working collaboratively with other staff in a multi-disciplinary team.
•Maximising the efficient utilisation of the physical resources of the Health Service
•Being Flexible with the work required in a range of Health Services and Locations
•Responsibility for supervision and teaching of junior medical officers attached to the medical team
Decision Making The Unaccredited Emergency Medicine Trainee should be able to assess and manage patients who present to the Emergency Department with conditions which are considered common eg acute pulmonary oedema, acute asthma, seizures etc.

The Unaccredited Emergency Medicine Trainee should be able to assess and begin manage patients of all age groups including paediatrics.

The Unaccredited Emergency Medicine Trainee should be able to begin assessment and management of trauma cases.
The level of decision making will depend on the level of training and experience
for the Unaccredited Emergency Medicine Trainee. At any stage they can seek the advice of the Emergency Specialist either in the department (16 hours per day) or over the phone.

The Emergency Department has a large number of guidelines available to the Unaccredited Emergency Medicine Trainee via the intranet website. 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.
Communication The doctor 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. 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 The Unaccredited Emergency Medicine Trainee is responsible for participating in ongoing review of their clinical practice as per AHPRA registration
guidelines, participating in continuing medical education and professional
development as covered by the supervision arrangements stipulated by the Australian Medical Board and Maintaining his/her professional competence.

The Director of Emergency Medicine Training will supply the reports on the doctors performance
Additional Information
Additional Documents no addditional documents have been provided

College Australasian College for Emergency Medicine
Organisation Chart ORGANISATION CHART.pdf
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: Completion of at least two postgraduate years and intention to enrol in the ACEM training program.

3: Significant recent experience in an Australian Emergency Department and with paediatric presentations is preferred.

4: Demonstrated ability to work independently in a supervised environment and work effectively as part of a multidisciplinary team

5: Evidence of continued professional development and commitment to self education

6: Ability and willingness to work at the facilities within the Network to deliver patient care and preparedness and ability to participate in a 24 hour shift work roster

7: Demonstrated commitment to quality improvement, patient safety and risk management
Contact Details Dr Raymond Kwok and Dr Carla Morgan
9113 1653 / 9113 1207
raymond.kwok@health.nsw.gov.au