Position Details
Position Title Trainee
Position Number 22636
Employment Status Full Time - Exempt
Applications Close 16/08/2020
Maximum length of training contract 06/02/2022
Local Health District Western NSW Local Health District
Facility Dubbo Hospital
Specialty Emergency Medicine
Sub Specialty None
Additional Training Focus Critical Care
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.

This position is an Accredtied Emergency Medicine Trainee position with two clinical terms spent in ICU and two clinical terms in Anaesthetics. The position is currently accredited for 6 months ICU Core training. This position is suitable for Junior Medical Officers JMOs (PGY 4 & above) who are ACEM trainees.
The main purpose of this position is to provide effective medical services to patients under supervision in a complex clinical environment.

Key Accountabilities :
Responsibilities include • Co-ordinating the admission, management and discharge
planning of patients seen in or admitted to the Unit within the Local Health District, and ensuring that the admission and plans are documented in the medical
record. • The day-to-day assessment and management of the patients in hisher
Unit, communicating with them and their family the nature of their condition and its
treatment. • Communicating and co-ordinating care with their team, arranging
consultation with other staff when appropriate, then arranging discharge and liaising
with local medical officers and other community based care modalities. • All
decisions concerning the patient(s) in consultation with their immediate supervisor.
The Trainee will be expected to manage patients in a semi-autonomous manner with
supervision from the senior specialists.
Position Requirements Document patient care to the minimum medicolegal standard, as set out by
DHS policy.
Complete appropriate assessment and baseline investigations with minimal
support, consulting when necessary.
Work 80 hours per fortnight which will include a combination evening, weekend
and night shifts.
Attend regularly and participate in the Critical Care Department’s Continuing
Medical Education programme for medical and nursing staff.
Provide support/supervision to Resident Medical Officers also working within
the Critical Care Unit Department.
Contribute to the teaching of University students who are attached to the
hospital.
Support and contribute to Quality/Clinical Practice Improvement activities
within Dubbo Health Service.
Contribute to the development and maintenance of care plans for patients.
Complete discharge documentation for patients and communicate appropriately with community doctors/health professionals.
Liaise appropriately with inpatient teams
Review and document investigation results for all patients, including those
already discharged from the department.
Contribute to projects or committees relevant to Critical Care as requested.
Complete requests for medicolegal documentation if requested.
At times will be required to give advice to medical and nursing sites at peripheral sites under the supervision of the Consultant.
Local Background & Environment An outstanding opportunity is available for a suitably qualified Medical Officer to service Dubbo Health Service (DHS) and the Western NSW Local Health District (WNSWLHD).
There is wide and varied Emergency and Intensive Care Training experience at Dubbo Health Service. Dubbo Health Service is the area’s major referral centre, serving a population of approx 160,000 people. There are some 40,000 ED presentations per year with 17,985 admissions. Dubbo Health Service provides specialist services in Emergency Medicine, Anaesthetics, General Medicine, Renal medicine, General Surgery, ENT, Urology, Ophthalmology, Orthopaedics, Dentistry, Obstetrics & Gynaecology, Paediatrics and Psychiatry.
There is an on-site Intensive Care, Coronary Care, High Dependency, emergency medicine, ambulatory care, renal dialysis, oncology and day surgery units as well as comprehensive 24/7 onsite pathology and medical imaging (including CT) services. The Royal Flying doctor services in based in Dubbo. Outreach services are provided by Dubbo Health Service to townships within the western district.
The hospital is well staffed with Resident Medical Officers and Trainees. There are active Resident and Trainee Training programs, as well as weekly Grand Rounds.
A state of the art theatre complex with 6 theatres was opened in January 2015 with a new surgical ward opened in 2018. The Hospital is currently undergoing a major redevelopment for stages 3 and 4 that includes the recently opened Emergency Department and Short Stay Unit, Medical Imaging Unit and a new Renal Dialysis Unit.
Currently under redevelopment is -
• A new Critical Care Floor comprising of:
- Coronary Care/ Stroke Unit
- Intensive Care Unit
- Cardiac Catheter Laboratory (and Angiography Laboratory space)
• A new Ambulatory Care Unit
• A new front of house entry and drop off zone
• Expansion to Oncology
• A new Front of House entry and drop of zone
• Upgrade of Women’s and Children’s Community Health; and
• Additional car parking on campus
Key Internal and External Relationships Clinical streams
Multidisciplinary teams
Consumers/Carers
Other Clinical Divisions
JMO Management
The doctor will be expected to work with other doctors. nurses, allied and clerical staff as part of his/her role.
Quality assurance, peer review, education would be via medical team meetings.
Multidisciplinary meetings arc held and the incumbent would work with a multidisciplinary team with acute care work.
Supervision Arrangements The Trainee will be directly supervised by the senior medical officers and
specialists on duty. The doctor will be expected to supervise the ICU SRMO, as well as teaching medical students.
Challenges/Problem Solving Working in a complex environment where there are competing priorities and strict
deadlines. • Developing strong working relationships with a multidisciplinary
workforce. • Understands and is committed to organisational mission and goals. •
Demonstrating initiative to resolve issues. • Sharing information and learning
experiences with colleagues. • Developing and exhibiting good communication
skills. • Demonstrating a commitment to personal development as a professional. •
Completing a comprehensive patient history by obtaining the history from the patient
and from other relevant sources (eg medical record, family, nursing home, general
practitioner, ambulance transfers sheet etc). • Documenting the full history and
physical examination within progress notes even if a covering doctor admits the
patient. • Legible, accurate and signed progress notes must be written every day
and particularly after every ward round. • Formulating a management plan for every
patient in consultation with more senior medical staff. • Ensuring that appropriate
investigations are ordered and followed up and that the management plan is altered
necessarily. • Showing a commitment to the effective handover of patients. •
Designing then communicating a discharge plan containing an accurate history of
their admission and a clearly identified and attainable management plan. • Being
first on call for the assessment and treatment of patients of any acute problems
during the day. • Appropriate liaison for advicehelp with supervising medical
staff. • The completion of death certificates, cremation certificates, medical
certificates and discharge scripts.
Decision Making The Doctor will be required • To exercise independent judgement, initiative and
problem solving skills, but this should be exercised in consultation with supervising
medical staff. • To ensure appropriate input from key decision makers and achieve
consensus when possible. • To appropriately allocate teaching time according to
evidence of learning need. • To deal with matters in a confidential manner. • To
respect the professional values of staff
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. • Deal with matters 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 In addition to the core competency standards, the doctor is expected to comply with
legislative, policy/protocol requirements as they relate to:
- The supervision requirements as set out by the Medical Board of Australia;
- The Western NSW Local Health District Performance Management Policy;
- Work Health and Safety requirements as an employee;
- The Western NSW Local Health District Code of Conduct.
Additional Information

http://www.dubbohospitalcareers.com.au/wpcontent/uploads/2019/07/DHS_Prospectus_2019_digital_V6_web.pdf

http://www.dubbohospitalcareers.com.au/

http://www.dubbohospitalredevelopment.health.nsw.gov.au/home

Additional Documents no addditional documents have been provided

College Australasian College for Emergency Medicine
Organisation Chart ORGANISATIONAL CHART - DBH Critical Care.doc
Job Demands Checklist Click Here to View
Selection Criteria 1: MBBS or equivalent, currently registered with the Medical Board of Australia.

2: At least three years postgraduate training in an Australian supervised teaching hospital setting, including demonstrated experience in an Emergency Medicine, Intensive Care or Anaesthetic setting.

3: Applicant is enrolled to sit, or has passed the primary exam with the College of Emergency Medicine.

4: Demonstrated ability to work effectively as part of a multidisciplinary team.

5: A professional attitude and flexibility in work role with a preparedness and ability to participate in after-hours rosters.

6: Demonstrated organisational and time management skills.

7: Demonstrated excellent communication skills (verbal and written), and computer skills
Contact Details Courtney Bayada
0268098508
Courtney.Bayada@health.nsw.gov.au