Position Details
Position Title Senior Resident Medical Officer (SRMO)
Position Number 22446
Employment Status Full Time - Exempt
Applications Close 16/08/2020
Maximum length of training contract 06/02/2022
Local Health District South Western Sydney Local Health District
Facility Camden & Campbelltown Hospitals
Specialty Emergency Medicine
Sub Specialty None
Award Public Hospital Medical Officers (State) Award
Classification Resident Medical Officer
Salary Band $81,639.00 to $110,406.00
Main Purpose of Position Due to COVID-19 and the changes to college requirements during the pandemic, NSW Health may make changes to the recruitment process. Formal interviews may be conducted electronically rather than face to face however, candidates will be notified as soon as practical of any changes.

Basic training in critical care medicine
Provide Clinic Services for Intensive Care, Emergency Medicine and Anaesthetics
This 12 month appointment is made up of 4-month long attachments in Intensive Care Medicine, Anaesthetics and in Emergency Medicine.

This is a Senior Resident Medical Officer position that will allow supervised experience and training in Intensive Care Medicine, Anaesthetics and Emergency Medicine
Position Requirements Emergency and ICU Clinical Responsibilities:
The Senior Resident Medical Officer is clinically responsible for:
1. The initial assessment of patients, which should consist of an accurately documented comprehensive patient history, physical examination and the formulating of a management plan.
2. Ordering investigations and requesting consults as appropriate.
3. Reviewing of all pathology, radiology and other diagnostic reports and advising the Consultant and/or taking appropriate action.
4. Charting of medications and fluids as required.
5. Communication of the patients' assessment and management plan with the medical and nursing staff and other members of the team providing care to the patient. Following up to ensure the plan is carried out and assessing its outcome
6. Ensuring that all admissions, changes in clinical condition and deaths of patients are notified to the Supervising Consultant and the Admitting Medical Officer
7. Initiating immediate treatment as appropriate where required, including cardiopulmonary resuscitation.
8. Participating in ward rounds, patient clinics, clinical hand over and ensuring all documentation including progress notes is completed.
9. Communicating with, and supporting, the patient and their family.
10. Ensuring effective discharges occur for the patient, family and other caregivers and an adequate and timely discharge summary is provided to those involved in after care including the General Practitioner and the Attending Medical Officer. The discharge summary should summarise the admission and describe the management plan.
11. Ensuring all arrangements required for autopsy, death and cremation certificates are made expeditiously and appropriate support to other staff and family is given.
12. Arranging theatre lists and assisting at operations where required, consistent with their clinical responsibilities and training requirements.
13. Participation in a shift roster including after hours and weekend cover as required
14. The Senior Resident Medical Officer will be required to provide supervision support to Resident Medical Officers and Interns during shifts rostered outside of normal working hours.

Anaesthesia Rotation
o Participation in perioperative assessment including ward assessments and rotation to pre-admission clinic
o Develop skills (with appropriate supervision) in administering sedation, general anaesthesia and regional anaesthesia to a varied (and sometimes critically unwell) patient population.
o Institute the management of acute post-operative pain including participation in acute pain service rounds.
o The majority of the experience gained in the anaesthesia rotation will be with adult elective patients

Intensive Care Rotation
o Provision of critical care to patients in the ICU/HDU
o Accurate data entry into the ICU patient database Emergency Medicine Rotation
o Provision of emergency care to patients in the Emergency Department
Competency is expected to be demonstrated or developed in the following skills
as a minimum:
o Venipuncture
o Peripheral venous and arterial cannulation
o Central venous cannulation
o CPR
o Intubation
o Tube / needle thoracostomy
o Catheterisation
o Lumbar Puncture
o Interpretation of ECG
o Reading of X-rays
o Interpretation of basic blood results
Local Background & Environment Campbelltown Hospital is a teaching hospital of Western Sydney University Medical School. It offers most specialties and the Emergency Department is the third largest, in terms of presentations, in the State.
It is situated in a semi-rural environment 60KM South West of Sydney in one of the fastest growing population centres of the State.
A significant proportion of the population are immigrants and 28% of the
presentations are paediatric.
Neurosurgical and Cardiothoracic services are currently unavailable but can be accessed readily at the tertiary referral hospital, Liverpool. Campbelltown Hospital provides limited vascular and ENT services. Patients requiring definitive care under these specialties are transferred to Liverpool Hospital.
The facilities available in the hospital, such as:
- Radiology / Radiography - 24 hour Radiology available with offsite reporting via the Centricity Web system after hours
- Pathology / technician - 24 hour Pathology with onsite facilities during hours and offsite at Liverpool, afterhours
- The Hospital has VMOs / Staff Specialists in the following sub-specialties
Surgery
General medicine
Gastroenterology
Oncology
Respiratory Medicine
Cardiology
Neurology
Endocrinology
Immunology
Rheumatology
Nephrology
Haematology
Rehab Medicine
Geriatrics
Obstetrics and Gynaecology
Mental health
Paediatrics
Palliative Medicine
Intensive Care medicine
Liverpool Hospital is the networked tertiary referral hospital. It is situated 20 minutes away by road. The Emergency Departments of both Hospitals are networked whereby, Staff Specialists work at both sites
Transport times by road ambulance is usually 20 minutes but Emergency
Retrieval Services are available
The position will require a Medicare Provider Number for purposes of prescribing and referrals only
Key Internal and External Relationships Key Internal Relationships
• Director of Emergency Medicine Training
• Director of Emergency Medicine and other Emergency Medicine Specialists
• Clinical Staff (JMO’s medical officers and consultants) from the clinical disciplines
• 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 Supervision of the SRMO in normal hours of work:
1. Will receive full direct supervision and support from more senior medical officers and the Consultant within the department they are rotating through.
2. As the SRMO gains more experience, supervision may be less direct, but will always be promptly available, including immediate support and advice over the telephone
3. The SRMO will also be supervised by Senior Trainees in out of work hours
4. The SRMO will be required to provide supervision support to RMO’s and Interns and students allocated to his/her clinical team area Supervision of the SRMO in after hours of work:
1. Will always have a more senior medical officer on site or on call
2. Will have the immediate supervision by Trainees (Including Advanced Trainee, Basic Trainee, Unaccredited Trainee) on duty
3. Will be able to call the Consultant on call for support and supervision after hours.
Challenges/Problem Solving • Working collaboratively as part of the multidisciplinary critical care system to optimally manage critically ill patients.
• Balancing mandated training and education requirements with service provision, within the limitations of a busy public health service.
• Organising and prioritising time for clinical, education and research responsibilities.
• Maintaining a professional role and effective communication across disciplines.
Decision Making The ICU SRMO will be required to:
• Respond immediately to MET and Trauma calls.
• Assess all new non-urgent referrals within 1 hour and establish a plan of management.
• Inform the responsible ICU Specialist and primary team Specialist as appropriate, of their assessment and plan of management and adjust the plan, if necessary, after discussion.

The Anaesthetic SRMO will be required to:
• Have 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.
• 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.

The Emergency SRMO will be required to
• Have close and effective liaison with consultants will allow you to demonstrate your level of ability and understanding of patient care and enable you to expand your areas of responsibility.
• Ability to make decisions regarding departmental management and patient flow

Communication • The Doctor needs to work closely with medical, nursing and allied health staff and communicate effectively across multiple disciplines regarding their assessment, plan of management and updating on changes in patient condition.
• Work as part of, and contribute to a multi-disciplinary team.
• Deal with matters that are often of an urgent, sensitive and distressing nature.
• Exercise discretion, sensitivity, and maintain confidentiality.
• Demonstrates leadership within a team environment
• Demonstrate an ability to initiate and undertake discussions with patients and their families regarding their hospitalisation, treatment and progress.
• Communicate effectively and in a timely fashion with Specialists and primary team Specialists regarding the patients under their care.

Performance Monitoring The doctor 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.
- Maintain his/her professional competence.
The doctor will also participate in the Organisations performance management program conducted by the Department Director at least annually.
Additional Information
Additional Documents no addditional documents have been provided

College
Organisation Chart 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: 2 years post-graduate experience.

3: Previous experience in the critical care disciplines of intensive care or emergency medicine, Evidence of training/competency in advance life support.

4: Desirable to demonstrate evidence of completion of an introductory course to Critical Care Medicine such as BASIC, APLS or ALS.

5: Demonstrated excellent clinical skills, judgment, expertise and demonstrated teamwork skills within a multidisciplinary team.

6: Preparedness and ability to work independently in a supervised environment.

7: Demonstrated interest and willingness to teach Junior Medical Staff and be involved in research
Contact Details Alex Buttfield
0246343000
Alexander.Buttfield@health.nsw.gov.au