Position Details
Position Title Provisional Fellow
Position Number 22553
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 Plastic surgery
Additional Training Focus Paediatric plastic and reconstructive 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 Department of Plastic and Reconstructive Surgery at The Children's Hospital at Westmead, within The Sydney Children's Hospitals Network, provides a wide range of surgical services to children, including cleft and craniofacial surgery as well as the management of trauma and burns.

The purpose of the Provisional Fellow position is to:

1. Provide effective service to paediatric patients with increasing autonomy while developing expertise in paediatric Plastic and Reconstructive Surgery practise, in a complex clinical environment;

2. Assist 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;

3. Develop clinical proficiency in the care of children with complex health problems;

4. Provide an opportunity for the development of clinical and leadership skills in the spheres of clinical care, education and research with the support of consultant and other health care professionals.

This is a 1.0FTE position commencing from 02 August 2021.
Position Requirements 1. Qualifications

• MBBS or equivalent
• Completed or nearing completion of specialty training in Plastic and Reconstructive Surgery

2. Clinical

2.1 Provide Plastic and Reconstructive Surgery and related patient services as allocated by the Department Head
2.2 Participate as required in the out of hours on call roster.
2.3 Provide appropriate documentation of clinical activities in the medical records.
2.4 Communicate appropriately with children and their families to ensure that they are adequately informed with regard to their anaesthesia and pain relief, as well as professionally with other health professionals, particularly referring surgeons and other practitioners.

3. Research and Teaching

3.1 Critically assess research literature.
3.2 Gain formal instruction in statistics, epidemiology, research design and critical reading and writing skills.
3.3 Gain formal guidance in the design, implementation, completion and submission of research projects under the supervision of the Senior Plastic and Reconstructive Surgery medical team.
3.4 Assist with the preparation of grant applications.
3.5 Deliver formal instruction competently in teaching and presentation skills, including teaching one-on-one, small groups, large groups, peer and supervisor review.
3.6 Teach Plastic and Reconstructive Surgery trainees, post graduates and undergraduates, nursing and other staff as required

4. 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:
4.1 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.
4.2 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. Report all allegations of suspected child abuse and neglect by a health employee. Be familiar with the process of assessing and reporting suspected cases of child abuse and neglect to the Department of Community Services.
4.3 Take care for the health and safety of yourself and others at work. Cooperate with Department Head’s and supervisors in their efforts to provide a safe working environment. Do not intentionally or recklessly interfere with or misuse anything provided in the interests of health and safety. Report to managers and/or supervisors any hazards in the workplace or any unsafe work practices. Comply with the NSW Health Infection Control Policy (as amended from time to time).

5. 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:
5.1 Through participation in hospital committees and projects
5.2 Manage or become involved in issues relating to junior medical staff rostering, organisation of teaching sessions and FRACP exams.
5.3 Gain exposure to medico-legal issues, hospital organisational structures, finances, committee work, staffing management and child advocacy
5.4 Begin to understand the management of administrative issues relating to patient care, medical staffing, allocation of resources and the overall functioning of the hospital.

6. Orientation

• Attend the Hospital's Clinical Orientation Program on the first day of commencement.
• Attend department specific orientation as required.

7. Mandatory Training

Completion of Hospital and NSW Health Mandatory Training requirements.

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

7.2 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.

7.3 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.

7.4 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.

7.5 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.

8. 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.

9. 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 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 Chief Resident Medical Officer, 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

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

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 your level of ability and understanding of patient care and your potential/readiness to expand your 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 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 contributes 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: Passed General Surgical Science Examination

3: Demonstrated commitment to a future career involving Paediatric Plastic and Reconstructive Surgery

4: Understanding of Clinical Governance and demonstrated commitment to its application

5: Excellent communication skills and demonstrated ability to liaise effectively with other health professionals

6: Ongoing commitment to further education and professional development; demonstrated ability to teach, and 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, participation in Hospital Committees preferable
Contact Details Dr Damian Marucci / Dr Peter Hayward
+61 2 9845 0000
damian.marucci@health.nsw.gov.au