Position Details
Position Title Provisional Fellow
Position Number 22525
Employment Status Full Time - Exempt
Applications Close 14/06/2020
Maximum length of training contract 06/02/2022
Local Health District Sydney Children's Hospitals Network
Facility Children's Hospital at Westmead
Specialty Surgery
Sub Specialty Cardio-thoracic surgery
Additional Training Focus Paediatric cardiothoracic surgery
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 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.

The Cardiothoracic Surgery Paediatric Provisional Fellow position at The Children's Hospital at Westmead, within The Sydney Children's Hospitals Network (SCHN), involves a clinical role within the Cardiac Service, as well as a leadership and educational role. This position provides an opportunity to develop skills important for a consultant role in the inpatient and outpatient setting, with the support from the Cardiothoracic Surgery Consultants as needed.

The Fellow will work closely with many of the other clinical teams in inpatient and outpatient care both clinically and strategically. The education role includes clinical supervision within the Heart Centre and Cardiac Service more broadly as well as the hospital wide education programs on both SCHN sites (Randwick and Westmead). Fellows may be requested to provide clinical support across SCHN.

The position provides effective service to paediatric patients with increasing autonomy, while developing expertise in surgical practice, in a complex clinical environment. It assists in ensuring that the service provided to patients and their families in New South Wales and beyond is of the highest quality, sustainable, flexible and transparent. The role will develop clinical proficiency in the care of children with congenital heart disease and associated complex health problems.

Positions are available for the 2021 Clinical Year, commencing 1st February 2021.
Position Requirements 1. Qualifications
MBBS or equivalent.

2. College Registration
The Provisional Fellowship is open to candidates who are registered with the Royal Australasian College of Surgeons as an Advanced Trainee or overseas equivalent, completed a minimum of 3 years of adult cardiac surgical training and a minimum of 6 months experience in paediatric cardiac surgery within the last 12-18 months.

3. Clinical
Goal: To become clinically proficient in the care of children with congenital heart disease and associated complex health problems and adept in managing this care in the context of the individual family and locally available community support structure.

Implementation:
3.1 Through clinical activities of the department including inpatients, outpatients, surgery, consultation and relevant clinical activities outside of the hospital.
3.2 Through meeting the trainee’s clinical needs by supervision from senior staff, ongoing formal education sessions and feedback.
3.3 Through fostering interpersonal and leadership skills required for managing the care of sick children and their families in hospital and in the context of their community.
3.4 Through the use of time management skills, particularly work prioritisation.
3.5 Each department has a specific ’Statement of Duties’ which will include information about daily and weekly duties; ward rounds, clinics etc; team relationships and communication; maintenance of medical records, documenting procedures etc; consultations; patient discharge procedures, clinical summaries and phone contact with the referring doctor (usually a General Practitioner, possibly a Paediatrician).

4. Research
Goal: To acquire the knowledge and skills required to critically assess research literature and to become a productive investigator. To enhance and demonstrate teaching competence.

Implementation:
4.1 Through formal instruction in statistics, epidemiology, research design and critical reading and writing skills.
4.2 Through formal guidance in the design, implementation, completion and submission of a research project including advanced training College projects.
4.3 Through guidance with the preparation of grant applications.
4.4 Through training and assistance in computing skills.

5. Teaching
Goal: To enhance and demonstrate teaching competence.

Implementation:
5.1 Through formal instruction in teaching and presentation skills.
5.2 Through teaching opportunities one-on-one, small groups and large groups.
5.3 Through critique by peer review and supervisor review.
5.4 Through attendance at hospital and external educational opportunities.

6. Clinical Governance
Goal: To develop an understanding for processes to improve the quality of care, improve and minimise risks, fostering an environment of excellence in care for consumers and to safeguard high standards of care.

Implementation:
6.1 Through participation in quality activities as directed by The Sydney Children’s Hospitals Network or the clinical department. This includes participation in regular Morbidity and Mortality Meetings and Peer Review. Provisional Fellows may be asked to take part in discussions with consumers about the delivery of services where appropriate
6.2 Through ensuring child safety and protection matters are reported. As a health care professional the Provisional Fellow is expected to:
o Report safety concerns
o Work in a spirit of partnership and open communication with the parents, their families, and staff so that, when things go wrong, we can work together to prevent similar events from re-occurring.
o Be familiar with Child Protection Policy and Procedures.
o Report all allegations of suspected child abuse and neglect by a health employee.
o Be familiar with the process of assessing and reporting suspected cases of child abuse and neglect to the Department of Family and Community Services.

7. Hospital Administration
Goal: To develop a basic understanding of the management of administrative issues relating to patient care, medical staffing, allocation of resources and the overall functioning of the hospital.

Implementation:
7.1 Through participation in hospital committees and projects
7.2 Manage or become involved in issues relating to junior medical staff rostering, organisation of teaching sessions and exams.
7.3 Gain exposure to medico-legal issues, hospital organisational structures, finances, committee work, staffing management and child advocacy
7.4 Begin to understand the management of administrative issues relating to patient care, medical staffing, allocation of resources and the overall functioning of the hospital.

8. Orientation
• Attendance at the Hospital’s Clinical Orientation Program on the first day of commencement.
• Attendance at department specific orientation as required.

9. Mandatory Training
Completion of Hospital and NSW Health Mandatory Training requirements.

9.1 Fire Training
Complete Fire Training annually. Fire Training consists of both practical and theoretical components which will be included during the Clinical Orientation Program.

9.2 Child Protection Training
Complete mandatory Child Protection Training. Child Protection Training includes the HETI online and targeted face to face training and needs to be completed once only. If you have completed mandatory Child Protection Training at another recognised New South Wales institution you must provide evidence of completion in the form of a certificate of attendance or transcript of training prior to commencement.

9.3 Resuscitation Training
It is a minimum requirement of this position that you have undertaken Paediatric Life Support Training each year through completion of “Resus4kids”. In addition all paediatric trainees must complete APLS or equivalent during their paediatric training and provide evidence of completion of this training in the form of a certificate of attendance. Other training programs such as “Detect Junior” are also to be completed as well as any other training as indicated by The Sydney Children’s Hospitals Network.

9.4 IT Training
You will be using a sophisticated range of electronic clinical and non-clinical applications. We are committed to providing you with access to all the essential applications required within your role and supporting you with quality training so that the applications are used effectively and efficiently.

9.5 HETI Online Mandatory Training Modules
It is a requirement for all NSW Health employees to complete the e-learning modules attached to their StaffLink number to be compliant with employment specific modules. Face-to-face modules can also be accessed via this portal and all staff are expected to be up to date and compliant.

10. Occupational Assessment, Screening & Vaccination against Specified Infectious Diseases & TB Screening
Compliance with the assessment, screening and vaccination requirements of NSW Health Policy Directive (PD2018_009) - Occupational Assessment, Screening & Vaccination against Specified Infectious Diseases is mandatory.

11. Policies and Procedures
All Sydney Children’s Hospitals Network staff are required to adhere to all current SCHN and NSW Health policies and procedures, including the NSW Health Code of Conduct.
Local Background & Environment Established in 2010, The Sydney Children’s Hospitals Network (SCHN) brings together The Children’s Hospital at Westmead and Sydney Children’s Hospital, Randwick - the two tertiary and quaternary children’s hospitals in metropolitan Sydney. Bear Cottage, the children’s hospice at Manly, Newborn and Paediatric Transport Service (NETS) and NSW Pregnancy and Newborn Services Network (PSN) are part of the Network’s remit. The formation of the Network creates an entity with formidable research and education expertise in child health. It attracts millions of dollars in competitive research funding each year and works collaboratively nationally and internationally to improve paediatric care worldwide.

SCHN is the largest paediatric healthcare entity in Australia, with 44,000 inpatient admissions, 86,000 Emergency Department presentations and almost one million outpatient occasions of service each year. SCHN provides a range of inpatient, outpatient and outreach services which cover a comprehensive range of services for children and young adults. The services include highly specialised quaternary, tertiary services, primary care and population health programs which operate at local, state-wide or national levels.

SCHN has adopted the following vision to guide us in providing the best care for sick children and their families:

• Our Ambition: International leaders in children’s health

• Our Purpose: Helping children and young people live their healthiest lives

• Our Guiding Principles:
- Children first and foremost: both in what we do, and what we advocate for
- Safe, reliable and effective care
- Partnership with children and families
- Value based: focusing on what makes the difference
- Equity in access, with a focus on the vulnerable and at risk children and young people

• Our Identity: Working together… for children

• Our Values: Collaboration, Openness, Respect, Empowerment

Further information is available on the SCHN internet page: http://www.schn.health.nsw.gov.au/about

Equal Employment Opportunity:

SCHN is an Equal Opportunity Employer and encourages all suitably qualified applicants to apply, including Indigenous Australians, and people from culturally diverse backgrounds. Staff who become aware of or suspect any inequity in the Hospital either in employment or service delivery, are requested to report the matter to their manager and/or supervisor or the Aboriginal Employment and EEO Coordinator.
Key Internal and External Relationships • Key Internal Relationships – Clinical Streams; Multi-disciplinary Teams; Consumers/Carers; Hospital Administration.
• Key External Relationships – Consumers/Carers; General Practitioners; Metropolitan and Rural Hospitals; Community Services; Police; Ambulance; Non-Government Organisations.
Supervision Arrangements Supervision of Provisional Fellows:

1. At all times during normal working hours, the Provisional Fellow will have a more senior doctor on site available to help. i.e. in-hours, the applicant is never the most senior doctor on site. YES
2. If the Provisional Fellow will be working after hours, on call or overnight, there will always be a more senior doctor on site available to help. i.e. after-hours, the applicant is never the most senior doctor on site. NO
3. The Provisional Fellow is expected to supervise junior medical staff. YES
4. The Provisional Fellow will be expected to do retrieval work. NO

Supervision arrangements for the Provisional Fellow during normal hours:
• Immediate: Staff Specialist, VMO
• Within the Department: Staff Specialist, VMO, Head of Department
• Within the Hospital: Staff Specialist/VMO, Head of Department, Deputy Director Medical Administration, Chief Resident Medical Officer, Deputy Chief Resident Medical Officer
• By Telephone: All Above

Supervision arrangements for the Provisional Fellow after hours:
• Immediate: Staff Specialist, VMO
• Within the Department: Staff Specialist, VMO, Head of Department
• Within the Hospital: Staff Specialist/VMO, Head of Department, Deputy Chief Resident Medical Officer, Chief Resident Medical Officer
• By Telephone: All Above

Provisional Fellows are expected to supervise Trainees/Residents and medical students as allocated. Provisional Fellows should become acquainted with local processes for supporting trainees, including trainees who are experiencing difficulty.
Challenges/Problem Solving • Balance training requirements with service provision, within the limitations of a busy public health service, whilst maintaining a professional role and responsibility for patient care, in close liaison with supervising medical staff.
• Contribute to the promotion and development of patient and staff safety.
• Work collaboratively with other staff in a multidisciplinary team.
• Maximise the efficient utilisation of physical resources of the Health Service.
• Exercise flexibility with the work required in a range of Health Services and locations as required. This may also include work not only during regular hours but also as part of overtime rosters and unrostered overtime as required.
• Be responsible for the supervision and teaching of junior medical officers attached to the department/team.
• Manage the complexities of a busy department and complex public health service.
Decision Making • All patients managed within the hospital/network or other work location/s are to be managed 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.
• Liaise effectively with consultants demonstrating level of ability and understanding of patient care and potential/readiness to expand areas of responsibility.
Communication The Provisional Fellow 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.
• Deal effectively with matters of an urgent or sensitive nature.
• Demonstrate ability to exercise discretion, sensitivity and maintain confidentiality.
• Demonstrate leadership within a team environment and actively contribute to team activities including pro-actively participating in team meetings and decision making processes.
• Demonstrate ability to initiate and undertake discussions with patients and their families regarding their hospitalisation and progress.
• Communicate effectively and in a timely fashion with consultants regarding the patients under their care.
Performance Monitoring It is a requirement that Provisional Fellows participate in Term/Annual Performance Reviews in consultation with the relevant Head of Department/Supervisor and comply with other requirements as determined by the relevant College training program and/or AHPRA guidelines.
Additional Information
Additional Documents no addditional documents have been provided

College Royal Australasian College of Surgeons
Organisation Chart SCHN org structure.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: Registered with the Royal Australasian College of Surgeons as an Advanced Trainee or overseas equivalent.

3: Has completed minimum of 3 years of adult cardiac surgical training and a minimum of 6 months experience in paediatric cardiac surgery within the last 12-18 months.

4: Technical skills to allow surgical management of emergency situations with cardiac surgery patients (has performed cannulation & decannulation for cardiopulmonary bypass, sternotomy).

5: Excellent communication, leadership and teamwork skills with demonstrated ability to liaise effectively with other health professionals.

6: Ongoing commitment to further education and professional development and demonstrated ability to teach, with a willingness to participate in the teaching of Medical Students, Junior Medical Staff and other clinical staff.

7: Understanding of research methodology or research experience and a willingness to undertake research proposal.

8: Demonstrated contribution to the development of hospital services e.g. participation in Paediatric Junior Staff matters, representation on behalf of the hospital and participation in Hospital Committee preferable.
Contact Details Dr Yishay Orr
+61 2 9845 2321
yishay.orr@health.nsw.gov.au